| NPI | 1063586493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE K MARANVILLE Center Director 803-356-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 1522) |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2020-08-22 |