Individual
MRS. MARY BETH K MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. CCC.SLP
Contact information
Practice address
22 STAFFORD RD, ANDERSON, SC 29626-5674
(813) 956-3614
Mailing address
22 STAFFORD RD, ANDERSON, SC 29626-5674
(813) 956-3614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4992
SC
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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