KRISTY PROVEAUX

WEST COLUMBIA, SC
NPI1336264225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SC  3463)
Enumeration Date2007-03-20
Last Update Date2016-06-15
Business Address
-- KRISTY PROVEAUX m.s. ccc-slp
3681 LEAPHART RD STE A
WEST COLUMBIA, SC 29169-3068
Phone number: 803-600-6519
Mailing Address
-- KRISTY PROVEAUX m.s. ccc-slp
4129 COLUMBIA RD
ORANGEBURG, SC 29118-1264
Phone number: 803-600-6519
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