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Organization

GRACE SPEECH LANGUAGE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDIE ARISTILDE M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(917) 803-2462
Entity
Organization

Contact information

Practice address
2256 TRAKAND DR, LEXINGTON, SC 29073-5501
(917) 803-2462
Mailing address
2256 TRAKAND DR, LEXINGTON, SC 29073-5501
(917) 803-2462

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
02/23/2024
Last updated
02/23/2024
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