Individual
KATHERINE VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
325 MOTLOW SCHOOL RD, CAMPOBELLO, SC 29322-9675
(864) 472-8120
Mailing address
302 CHERRY HILL RD, GREENVILLE, SC 29607-5412
(864) 979-0894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2157
SC
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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