Individual
MISS MARY KATHERINE BASNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2113 ADAMS GRV STE 201, COLUMBIA, SC 29203-6957
(803) 404-7963
Mailing address
2113 ADAMS GRV STE 201, COLUMBIA, SC 29203-6957
(803) 404-7963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5681
SC
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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