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Organization
SOUTH CAROLINA SPEECH THERAPY, LLC
Active
Organization
SOUTH CAROLINA SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WINTERS MCD, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(864) 680-2170
Entity
Organization
Contact information
Practice address
6 BELLAGIO WAY, GREER, SC 29651-7542
(864) 680-2170
Mailing address
6 BELLAGIO WAY, GREER, SC 29651-7542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6293
—
SC
Enumeration date
10/28/2013
Last updated
12/03/2022
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