Organization
LIZZY E AND FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENSLEY GRAVES (FOUNDER)
(803) 387-1460
Entity
Organization
Contact information
Practice address
714 BECKHAM LANE SUITE 404, ROCK HILL, SC 29732-3248
(803) 387-1460
Mailing address
714 BECKHAM LANE SUITE 404, ROCK HILL, SC 29732-3248
(803) 387-1460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4676
SC
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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