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Organization
CAROLINA SPEECH PATHOLOGY SERVICES LLC
Active
Organization
CAROLINA SPEECH PATHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA BAXTER CCC-SLP (OWNER)
(843) 419-7576
Entity
Organization
Contact information
Practice address
350 E WASHINGTON ST UNIT C, WALTERBORO, SC 29488-3982
(843) 419-7576
(843) 552-5122
Mailing address
106 CEDAR GROVE DR, NORTH CHARLESTON, SC 29420-8146
(843) 419-7576
(843) 552-5122
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
969
SC
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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