Individual
CARRIE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CF-SLP
Contact information
Practice address
2848 PLEASANT ROAD, SUITE 101, FORT MILL, SC 29708-2970
(800) 779-4089
(803) 547-9706
Mailing address
2848 PLEASANT RD STE 101, FORT MILL, SC 29708-9494
(800) 779-4089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6350
SC
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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