Organization
STALLINGS ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA H STALLINGS MSP, CCC-SLP (OWNER/SLP)
(803) 319-2470
Entity
Organization
Contact information
Practice address
4 ROSE HAVEN CT, BLYTHEWOOD, SC 29016-8233
(803) 319-2470
Mailing address
4 ROSE HAVEN CT, BLYTHEWOOD, SC 29016-8233
(803) 319-2470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA 0344
—
SC
Enumeration date
05/13/2009
Last updated
05/13/2009
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