Individual
MRS. ALISON R KLECKLEY GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
6671 SAINT ANDREWS RD, COLUMBIA, SC 29212-2125
(803) 476-3000
Mailing address
6671 SAINT ANDREWS RD, COLUMBIA, SC 29212-2125
(803) 476-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12156905
SC
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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