Individual
MRS. KADRA MCQUEEN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
609 N MAIN ST, MARION, SC 29571-3033
(803) 614-1898
(843) 841-3100
Mailing address
PO BOX 1666, MARION, SC 29571-1666
(180) 361-4189
(843) 841-3100
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
7259
SC
235Z00000X
Speech-Language Pathologist
Primary
4598
SC
235Z00000X
Speech-Language Pathologist
7022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1256
—
SC
Enumeration date
11/07/2006
Last updated
02/18/2022
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