Organization
CAROLINA SPEECH AND LANGUAGE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LATRICE COOPER MA,SLP-CCC (SPEECH LANGUAGE PATHOLOGIST)
(803) 928-0369
Entity
Organization
Contact information
Practice address
3298 HUNTER DRIVE, ORANGEBURG, SC 29118-2017
(803) 928-0369
(866) 524-1024
Mailing address
PO BOX 1932, ORANGEBURG, SC 29116-1932
(803) 928-0369
(866) 524-1024
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0518
—
SC
Enumeration date
09/23/2009
Last updated
11/14/2011
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