LISA WILLMUTH

MT PLEASANT, SC
NPI1043523806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SC  4701)
Enumeration Date2010-07-22
Last Update Date2010-07-22
Business Address
-- LISA WILLMUTH CCC
1127 QUEENSBOROUGH BLVD STE 104
MT PLEASANT, SC 29464-5431
Phone number: 843-216-0290
Mailing Address
-- LISA WILLMUTH CCC
PO BOX 1753
MT PLEASANT, SC 29465-1753
Phone number: 843-216-0290
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