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Organization

SAY IT WITH A SMILE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE ACKLEY SPEECH PATH (OWNER)
(843) 945-5159
Entity
Organization

Contact information

Practice address
2932 SWEETLEAF LN, JOHNS ISLAND, SC 29455-6710
(843) 345-5159
Mailing address
2932 SWEETLEAF LN, JOHNS ISLAND, SC 29455-6710
(843) 345-5159

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3945
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770698748
SC
Enumeration date
06/10/2015
Last updated
06/10/2015
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