Individual
MRS. BENEDICTE PASQUINELLI TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
421 S ORCHARD FARMS AVE, SIMPSONVILLE, SC 29681-4870
(864) 320-9382
Mailing address
421 S ORCHARD FARMS AVE, SIMPSONVILLE, SC 29681-4870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3655
SC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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