Individual
SHANNON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4438 PAMPLICO HWY, FLORENCE, SC 29505-8502
(843) 665-4955
Mailing address
4343 GAYMON RD, TIMMONSVILLE, SC 29161-8150
(843) 662-2222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3353
SC
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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