| NPI | 1376777532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SHARMAINE GREENE Speech Language Pathologist 803-834-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |