Individual
MACKENZIE LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CF-SLP
Contact information
Practice address
2400 WINCHESTER PL STE 102, SPARTANBURG, SC 29301-1518
(864) 576-7188
Mailing address
2400 WINCHESTER PL STE 102, SPARTANBURG, SC 29301-1518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6460
LLR
SC
Enumeration date
04/02/2018
Last updated
06/16/2018
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