Individual
ANGIE TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
311 MALLARD CT, MT PLEASANT, SC 29464-2830
(843) 606-0631
(843) 416-8315
Mailing address
311 MALLARD CT, MT PLEASANT, SC 29464-2830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4978
SC
Other
Enumeration date
12/07/2011
Last updated
09/25/2013
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