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1295475978
LOGAN DOUGLASS HYDRICK
WEST COLUMBIA, SC
NPI
1295475978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-03-30
Last Update Date
2023-12-15
Business Address
LOGAN DOUGLASS HYDRICK
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
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Mailing Address
LOGAN DOUGLASS HYDRICK
1556 SHADY LN
COLUMBIA, SC 29206-4635
Phone number:
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