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Individual

MRS. SHONDRE COSTINE CLEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,CCC-SLP

Contact information

Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1784
AL
235Z00000X
Speech-Language Pathologist
Primary
SLP006951
GA

Other

Enumeration date
05/23/2007
Last updated
08/11/2010
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