Individual
MS. TANISHA JALENE MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 LATITUDE LN # 1035923, LAKE WYLIE, SC 29710-8150
(803) 818-0218
Mailing address
5923 MORRISON RD, LANCASTER, SC 29720-6865
(803) 804-6980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15184
NC
235Z00000X
Speech-Language Pathologist
Primary
6672
SC
Other
Enumeration date
09/04/2018
Last updated
02/07/2025
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