CARISSA THROCKMORTON

Speech-Language Pathologist

Active Individual
NPI: 1639604283

Practice Address

1727 BUCK SWAMP RD
Fork, SC 29543

Phone: (843) 464-6212

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes -

Frequently Asked Questions

NPI 1639604283 is the National Provider Identifier for CARISSA THROCKMORTON, a Speech-Language Pathologist provider located in Fork, SC. This NPI was enumerated on April 20, 2017.
CARISSA THROCKMORTON practices at 1727 BUCK SWAMP RD, Fork, SC 29543.

Quick Facts

NPI
1639604283
Type
Individual
Enumerated
Apr 20, 2017
Last Updated
Apr 20, 2017

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