Organization
HOMEGROWN SPEECH THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KARL MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(631) 926-3871
Entity
Organization
Contact information
Practice address
304 CESSNA AVE, CHARLESTON, SC 29407-6807
(631) 926-3871
Mailing address
PO BOX 80092, CHARLESTON, SC 29416-0092
(631) 926-3871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5986
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609223239
—
SC
Enumeration date
01/22/2018
Last updated
01/22/2018
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