Individual
MRS. TEFFENY ALISA PRINCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1450 LARTIQUE DR, ORANGEBURG, SC 29118-2025
(803) 387-2065
(803) 533-1440
Mailing address
1450 LARTIQUE DR, ORANGEBURG, SC 29118-2025
(803) 387-2065
(803) 533-1440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3962
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0720
—
SC
Enumeration date
05/31/2006
Last updated
07/09/2007
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