Organization
UPSTATE SPEECH CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY A RODRIGUEZ M.S., CCC-SLP (OWNER)
(305) 562-9080
Entity
Organization
Contact information
Practice address
163 LAVINIA CIR, DUNCAN, SC 29334-2041
(305) 562-9080
Mailing address
163 LAVINIA CIR, DUNCAN, SC 29334-2041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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