Individual
SUZANNE HEPLER FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HOLLY CIR, NORTH AUGUSTA, SC 29860-9647
(706) 414-6773
Mailing address
15 HOLLY CIR, NORTH AUGUSTA, SC 29860-9647
(706) 414-6773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003807
GA
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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