Organization
CAROLINA SPEECH THERAPY ASSOCIATES SC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE E MOSES CCC-SLP (SPEECH/LANGUAGE PATHOLOGIST)
(803) 774-0228
Entity
Organization
Contact information
Practice address
644 BULTMAN DR, SUMTER, SC 29150-2550
(803) 774-0228
(803) 774-0229
Mailing address
644 BULTMAN DR, SUMTER, SC 29150-2550
(803) 774-0228
(803) 774-0229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0615
—
SC
Enumeration date
05/15/2010
Last updated
05/18/2015
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