Organization
COCO'S SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANISHA MCCREA (OWNER)
(843) 230-7966
Entity
Organization
Contact information
Practice address
815 E BUTLER RD, GREENVILLE, SC 29607-5866
(843) 230-7966
Mailing address
PO BOX 403, MAULDIN, SC 29662-0403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
06/28/2022
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