NPI | 1104068964 |
---|---|
Entity Type | Organization |
Authorized Contact | CECELIA HARRIS JEFFRIES Owner 803-984-9890 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.2645) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2009-03-25 |