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Organization

SPEECH AT HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY HULL DICKSON MHA, MS, CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(843) 478-7918
Entity
Organization

Contact information

Practice address
520 FOLLY RD, SUITE P-152, CHARLESTON, SC 29412-3019
(843) 478-7918
Mailing address
520 FOLLY RD, SUITE P-152, CHARLESTON, SC 29412-3019
(843) 478-7918

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3138
SC

Other

Enumeration date
09/11/2012
Last updated
10/15/2012
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