Individual
MS. MARNETTE PERDERGRASS MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC SLP
Contact information
Practice address
2333 LORICK AVE, COLUMBIA, SC 29203-7203
(803) 765-1380
Mailing address
2333 LORICK AVE, COLUMBIA, SC 29203-7203
(803) 765-1380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
675
SC
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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