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Organization
CHRYSALIS OROFACIAL
Active
Organization
CHRYSALIS OROFACIAL
Active
Other names
Chrysalis Feeding
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY HENNING PHD (CHIEF OPERATING OFFICER)
(864) 383-8634
Entity
Organization
Contact information
Practice address
302A ASHBY PARK LN, GREENVILLE, SC 29607-6903
(864) 383-8634
(864) 383-8633
Mailing address
302A ASHBY PARK LN, GREENVILLE, SC 29607-6903
(864) 383-8634
(864) 383-8633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/07/2021
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