Organization
CRESCENT SPEECH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL R. BENNETT (OWNER)
(803) 443-8242
Entity
Organization
Contact information
Practice address
117 FOREST TRAIL CT, AIKEN, SC 29805-7895
(803) 443-8242
Mailing address
PO BOX 2883, AIKEN, SC 29802-2883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3506
SC
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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