Individual
MRS. AMY PIATT WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSR,CCC-SLP
Contact information
Practice address
238 CURETON ST, GREENVILLE, SC 29605-1031
(864) 232-5895
Mailing address
238 CURETON ST, GREENVILLE, SC 29605-1031
(864) 232-5895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3478
SC
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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