Individual
MS. JUNE K MARANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
107 WATERWAY CT # C, LEXINGTON, SC 29072-6812
(803) 315-0598
Mailing address
309 BRIDLEWOOD DR, LEXINGTON, SC 29072-2277
(803) 356-5665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1522
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAO175
—
SC
Enumeration date
09/26/2006
Last updated
09/14/2012
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