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1326565458
SALLIE KATHERINE LONG
IRMO, SC
NPI
1326565458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
SALLIE KATHERINE LONG
1 RIVER BOTTOM RD
IRMO, SC 29063-8630
Phone number: 803-476-4100
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Mailing Address
SALLIE KATHERINE LONG
1 RIVER BOTTOM RD
IRMO, SC 29063-8630
Phone number:
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