Organization
ABC EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY CANNON (FOUNDER)
(702) 280-4882
Entity
Organization
Contact information
Practice address
418 ADAMS MILL RD, MAULDIN, SC 29662-2742
(864) 962-7070
Mailing address
PO BOX 1092, MAULDIN, SC 29662-1092
(864) 962-7070
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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