Individual
MRS. PATRISE CORLEY DAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
126 KINGSLAND WAY, PIEDMONT, SC 29673-7769
(864) 845-8962
Mailing address
126 KINGSLAND WAY, PIEDMONT, SC 29673-7769
(864) 845-8962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104973577
—
SC
Enumeration date
08/16/2013
Last updated
07/01/2015
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