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Organization

KIDDIE CORRECTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEMETRIA HYATT CCC-SLP (OWNER)
(843) 295-5363
Entity
Organization

Contact information

Practice address
43 DALMORE CT, BLYTHEWOOD, SC 29016-6703
(843) 295-5363
(843) 988-7022
Mailing address
320 HARBISON BLVD STE 5, COLUMBIA, SC 29212-2225
(843) 295-5363

Taxonomy

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

Other

Enumeration date
11/11/2021
Last updated
06/13/2022
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