| NPI | 1598920696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA JONES BRUNSON Speech Language Pathologist 803-603-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3441) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |