DESTINEE ALIZE MACK

CHARLESTON, SC
NPI1851109227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: SC  9095)
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
DESTINEE ALIZE MACK SLP-A
13 HARRILL CT
CHARLESTON, SC 29412-3727
Phone number: 843-200-9600
Mailing Address
DESTINEE ALIZE MACK SLP-A
13 HARRILL CT
CHARLESTON, SC 29412-3727
Phone number: 843-200-9600