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Organization

EARLY EATING SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY S. TAYLOR MS, CCC-SLP, CLC (OWNER)
(864) 205-1410
Entity
Organization

Contact information

Practice address
1916 MAHONE CT, DANIEL ISLAND, SC 29492-7977
(864) 205-1410
Mailing address
1916 MAHONE CT, DANIEL ISLAND, SC 29492-7977
(864) 205-1410

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2692
SC

Other

Enumeration date
11/20/2008
Last updated
01/14/2013
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