Individual
MISS REBECCCA EVANS ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P., CCC-SLP
Contact information
Practice address
214 PRESBYTERIAN ST, MARION, SC 29571-3516
(843) 275-0506
Mailing address
214 PRESBYTERIAN ST, MARION, SC 29571-3516
(843) 275-0506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3349
SC
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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