Individual
MISS VALERIE PAIGE BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1837 N FRASER ST, GEORGETOWN, SC 29440-7758
(843) 382-7900
Mailing address
PO BOX 200, ANDREWS, SC 29510-0200
(843) 382-7900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6083
SC
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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