Individual
EILEEN MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CLINTON AVE, CLOVER, SC 29710-1627
(803) 810-8600
(803) 810-8670
Mailing address
300 CLINTON AVE, CLOVER, SC 29710-1627
(803) 810-8600
(803) 810-8670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112
—
NC
05
—
6112
—
SC
Enumeration date
01/25/2013
Last updated
01/25/2013
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