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1871872721
TISHANA SHALICE MUMFORD
SUMMERVILLE, SC
NPI
1871872721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 4232)
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
Mrs. TISHANA SHALICE MUMFORD MA, CCC-SLP
5002 WHITFIELD CT
SUMMERVILLE, SC 29485
Phone number: 843-833-1918
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Mailing Address
Mrs. TISHANA SHALICE MUMFORD MA, CCC-SLP
5002 WHITFIELD CT
SUMMERVILLE, SC 29485
Phone number: 843-833-1918
Copy
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