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Organization
EMPOWER TO COMMUNICATE
Active
Organization
EMPOWER TO COMMUNICATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REGINA JACKSON M.S.P. CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(803) 206-7690
Entity
Organization
Contact information
Practice address
910 MARTHA ST, COLUMBIA, SC 29203-5032
(803) 206-7690
Mailing address
910 MARTHA ST, COLUMBIA, SC 29203-5032
(803) 206-7690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4374
SC
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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