Individual
STACI HUNEYCUTT WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP,CCC-SLP
Contact information
Practice address
281 COLONY LN, WEST UNION, SC 29696-3705
(864) 638-5668
Mailing address
281 COLONY LN, WEST UNION, SC 29696-3705
(864) 638-5668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3218
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAO585
—
SC
Enumeration date
08/15/2006
Last updated
07/09/2007
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