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1861248031
SHANEIKA KEYATTA MIXSON
COLUMBIA, SC
NPI
1861248031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 8140)
Enumeration Date
2024-04-27
Last Update Date
2024-04-27
Business Address
SHANEIKA KEYATTA MIXSON CCC-SLP
4920 HARD SCRABBLE RD APT 216
COLUMBIA, SC 29229-9366
Phone number: 803-346-9019
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Mailing Address
SHANEIKA KEYATTA MIXSON CCC-SLP
4920 HARD SCRABBLE RD APT 216
COLUMBIA, SC 29229-9366
Phone number: 803-346-9019
Copy
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