NPI | 1265665335 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYMAC WILLIAMS Speech Language Pathologist 803-315-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3360) |
Enumeration Date | 2009-08-24 |
Last Update Date | 2009-08-24 |