| NPI | 1457553083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EULA WOFFORD BOYLSTON Owner 803-799-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 252) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |