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1073650982
MARY ELIZABETH HUMPHREY
SIMPSONVILLE, SC
NPI
1073650982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 3894)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Miss MARY ELIZABETH HUMPHREY MSP
114 WILLOW FORKS DR
SIMPSONVILLE, SC 29681-5971
Phone number: 843-670-2593
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Mailing Address
Miss MARY ELIZABETH HUMPHREY MSP
114 WILLOW FORKS DR
SIMPSONVILLE, SC 29681-5971
Phone number: 843-670-2593
Copy
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