Individual
MRS. MARY KATHRYN LAFORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
Mailing address
105 DECKER DR, GREENWOOD, SC 29646-9469
(864) 980-0786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4739
SC
Other
Enumeration date
09/20/2010
Last updated
06/03/2013
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