Individual
LAUREN MICHELE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
366 HERTY PARK DR, MONCKS CORNER, SC 29461-8934
(843) 729-9799
Mailing address
366 HERTY PARK DR, MONCKS CORNER, SC 29461-8934
(843) 729-9799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8092
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8092
STATE LICENSING
SC
Enumeration date
11/12/2024
Last updated
11/12/2024
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