Individual
MRS. AMBER IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
147 NIMS SPRING DR, FORT MILL, SC 29715-6461
(803) 230-8902
Mailing address
147 NIMS SPRING DR, FORT MILL, SC 29715-6461
(803) 230-8902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3900
SC
Other
Enumeration date
12/06/2005
Last updated
08/24/2007
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