Individual
MADELYN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
421 BARONY ST STE 3, MONCKS CORNER, SC 29461-3145
(843) 790-4093
Mailing address
1203 ZEPHYR RD, SUMMERVILLE, SC 29486-8473
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
8889
SC
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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