Organization
THERAPLAYHOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M PALMER MSP, CCC/SLP (SPEECH PATHOLOGIST/ INITIAL AGENT)
(843) 495-6404
Entity
Organization
Contact information
Practice address
515 FULMORE RD, LAKE CITY, SC 29560-7903
(843) 495-6404
Mailing address
515 FULMORE RD, LAKE CITY, SC 29560-7903
(843) 495-6404
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3006
SC
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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