Individual
KIMBERLY ROBERTSON SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
284 BLANTON LN, COTTAGEVILLE, SC 29435-3108
(843) 909-0748
Mailing address
284 BLANTON LN, COTTAGEVILLE, SC 29435-3108
(843) 909-0748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
168249
KY
235Z00000X
Speech-Language Pathologist
Primary
6936
SC
Other
Enumeration date
10/14/2017
Last updated
01/22/2021
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