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Individual

GRACE O WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
921 TILGHMAN FOREST DR, NORTH MYRTLE BEACH, SC 29582-2891
(843) 280-5976
Mailing address
921 TILGHMAN FOREST DR, NORTH MYRTLE BEACH, SC 29582-2891
(843) 280-5976

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
166
NC
235Z00000X
Speech-Language Pathologist
2856
SC

Other

Enumeration date
08/10/2009
Last updated
08/10/2009
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