Organization
SHOUT EAT PLAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN DUPREE (SPEECH THERAPIST)
(803) 566-6746
Entity
Organization
Contact information
Practice address
9698 PATRIOT BLVD APT 524, LADSON, SC 29456-8514
(803) 566-6746
Mailing address
717 OLD TROLLEY ROAD SUITE 6 #227, SUMMERVILLE, SC 29485
(803) 566-6746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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