# TRAIN UP SPEECH THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952831505
- **Authorized official:** MR. CHARLES S CLARKE MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (803) 384-0521

## Contact information

- **Practice address:** 212 W. MAIN ST., ANDREWS, SC 29510
- **Practice address phone:** (843) 264-1031
- **Practice address fax:** (866) 531-1159
- **Mailing address:** P.O BOX 753, ANDREWS, SC 29510
- **Mailing address phone:** (843) 264-1031
- **Mailing address fax:** (866) 531-1159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Q00000X | Pathology Specialist/Technologist | 1861653933 | SC | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1861653933 | — | SC |