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1033614789
AMANDA DAVIDSON
SUMMERVILLE, SC
NPI
1033614789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 6131)
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
AMANDA DAVIDSON
1801 OLD TROLLEY RD
SUMMERVILLE, SC 29485-8283
Phone number: 843-871-3235
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Mailing Address
AMANDA DAVIDSON
669 EDMONDS DR
CHARLESTON, SC 29412-4540
Phone number: 843-735-8778
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