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Individual

MANDA WERLE-ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
15 EXCHANGE DR, LUGOFF, SC 29078-9198
(803) 408-3277
Mailing address
PO BOX 520, LUGOFF, SC 29078-0520
(803) 408-3282

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3939
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SA1132
SC
Enumeration date
09/29/2010
Last updated
09/22/2011
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