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Organization

UPSTATE PEDIATRIC SPEECH THERAPY SERVICES

Active
Other names
Upstate Pediatric Speech Therapy Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANNON L . WILLIAMSON PH.D. (SLP/PRESIDENT/OWNER)
(864) 438-0990
Entity
Organization

Contact information

Practice address
310 NEW NEELY FERRY RD, MAULDIN, SC 29662-2617
(864) 438-0990
(864) 478-8383
Mailing address
310 NEW NEELY FERRY RD, MAULDIN, SC 29662-2617
(864) 438-0990
(864) 478-8383

Taxonomy

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

Other

Enumeration date
05/11/2011
Last updated
10/30/2023
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