NPI | 1912234204 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE MCGILL MCKENZIE President 803-240-5026 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3704) |
Enumeration Date | 2009-11-08 |
Last Update Date | 2009-11-08 |