Individual
KAY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E MAIN ST, MONCKS CORNER, SC 29461-3764
(843) 899-8890
Mailing address
109 E MAIN ST, MONCKS CORNER, SC 29461-3764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000
SC
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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