Individual
BLAIR WORTHINGTON ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
11 MERRIFIELD DR, GREENVILLE, SC 29615-3338
(864) 561-6397
Mailing address
11 MERRIFIELD DR, GREENVILLE, SC 29615-3338
(864) 561-6397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7341
SC
Other
Enumeration date
08/03/2021
Last updated
12/23/2021
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