Organization
LITTLE EXPRESSIONS SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON WHITE (OWNER)
(843) 504-2506
Entity
Organization
Contact information
Practice address
109 MOUNTAIN ASH LN UNIT C, MYRTLE BEACH, SC 29579-3490
(843) 504-2506
Mailing address
109 MOUNTAIN ASH LN UNIT C, MYRTLE BEACH, SC 29579-3490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA2039
—
SC
Enumeration date
03/11/2021
Last updated
03/11/2021
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