| NPI | 1861636987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SOX SMITH Owner 803-479-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4025) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2019-08-02 |