Organization
MAGNOLIA SPEECH & FEEDING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA LOUISE TRACY MS, CCC-SLP, CLC (SPEECH-LANGUAGE PATHOLOGIST)
(843) 619-7120
Entity
Organization
Contact information
Practice address
29 FENWICK DR UNIT A, CHARLESTON, SC 29407-7537
(843) 619-7120
Mailing address
112 HAWKINS ISLAND CIR, ST SIMONS ISLAND, GA 31522-1771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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