Organization
CAROLINA CHAT & CHEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH HOLLER HINES MSP/CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(803) 622-8851
Entity
Organization
Contact information
Practice address
305 HAMPTON TRACE LN, COLUMBIA, SC 29209-1916
(803) 622-8851
Mailing address
305 HAMPTON TRACE LN, COLUMBIA, SC 29209-1916
(803) 622-8851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3596
SC
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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