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FLORENCE, SC
NPI1902464779
Entity TypeOrganization
Authorized ContactSUSAN M BROACH
Owner
843-409-2585
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-06-05
Last Update Date2019-06-05
Business Address
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3540 SHADOW CREEK DR
FLORENCE, SC 29505-7016
Phone number: 843-409-2585
Mailing Address
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5045 OLIVER RD
TIMMONSVILLE, SC 29161-7723
Phone number: 843-409-2585