Organization
BIG LITTLE VOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE A WILFONG MSP, CCC-SLP (OWNER)
(843) 254-0722
Entity
Organization
Contact information
Practice address
4703 OLEANDER DR, MYRTLE BEACH, SC 29577-5743
(843) 254-0722
Mailing address
4131 WOOD LOOP, ALAMOGORDO, NM 88310-5466
(843) 254-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/18/2022
Last updated
11/21/2022
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