KATELYN MYRACLE

LADSON, SC
NPI1629436670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: TN  5712)
Enumeration Date2016-02-05
Last Update Date2023-01-04
Business Address
KATELYN MYRACLE M.A. CCC-SLP
9701 PATRIOT BLVD
LADSON, SC 29456-8501
Phone number: 843-695-2979
Mailing Address
KATELYN MYRACLE M.A. CCC-SLP
5016 WHITE CEDAR RD
LADSON, SC 29456-8539
Phone number: 573-275-7311