Organization
SPEECH FORMULA THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A'KAILA MONAE WILSON M.A.,CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(843) 812-9751
Entity
Organization
Contact information
Practice address
3015 CHIPPING LN, COLUMBIA, SC 29223-2012
(843) 812-9751
Mailing address
PO BOX 292181, COLUMBIA, SC 29229-0037
(843) 812-9751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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