Individual
MRS. ATIYA LARK COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D. CCC-SLP
Contact information
Practice address
203 NORTH MAPLE STREET, SUITE # 10, SIMPSONVILLE, SC 29681
(864) 757-9846
Mailing address
1317 MORGAN RD, HODGES, SC 29653-9793
(864) 341-1279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3969
SC
Other
Enumeration date
06/09/2010
Last updated
03/28/2014
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