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1043523806
LISA WILLMUTH
CHARLESTON, SC
NPI
1043523806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: SC 4701)
Enumeration Date
2010-07-22
Last Update Date
2024-10-03
Business Address
LISA WILLMUTH CCC
1170 FOLLY RD
CHARLESTON, SC 29412-4114
Phone number: 843-754-6422
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Mailing Address
LISA WILLMUTH CCC
1139 SHOREHAM RD
CHARLESTON, SC 29412-9364
Phone number: 843-754-6422
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