NPI | 1841420965 |
---|---|
Entity Type | Organization |
Authorized Contact | WARRICK JOVAN MCZEKE Owner 843-283-8974 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3879) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2009-07-23 |