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Individual

MR. TIMOTHY PAUL FISCUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSR, CCC-SLP

Contact information

Practice address
2508 MELVILLE RD, NORTH CHARLESTON, SC 29406-9798
(843) 810-3933
Mailing address
2508 MELVILLE RD, NORTH CHARLESTON, SC 29406-9798
(843) 810-3933

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3841
SC

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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