Individual
MADELYN ANNA BOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 RED CEDAR ST, BLUFFTON, SC 29910-8967
(843) 970-2899
Mailing address
78 BUCK ISLAND ROAD APT. 106, MAILBOX #50, BLUFFTON, SC 29910
(404) 861-2113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8898
SC
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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