NPI | 1184870206 |
---|---|
Entity Type | Organization |
Authorized Contact | GENA C RANDOLPH Owner 843-388-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3120) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2008-08-08 |