Individual
MRS. SHARON BERGMANN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, CERT. AVT
Contact information
Practice address
2913 RAWLINSON RD, COLUMBIA, SC 29209-4807
(803) 422-8650
Mailing address
2913 RAWLINSON RD, COLUMBIA, SC 29209-4807
(803) 422-8650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2105
SC
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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