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Individual

ALEXIS NOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827-9133
(803) 632-3311
Mailing address
219 KERRISON ST, VARNVILLE, SC 29944-5379
(803) 942-4999

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/27/2022
Last updated
07/27/2022
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