Organization
TRAIN UP SPEECH THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES S CLARKE MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(803) 384-0521
Entity
Organization
Contact information
Practice address
212 W. MAIN ST., ANDREWS, SC 29510
(843) 264-1031
(866) 531-1159
Mailing address
P.O BOX 753, ANDREWS, SC 29510
(843) 264-1031
(866) 531-1159
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
1861653933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861653933
—
SC
Enumeration date
06/15/2017
Last updated
07/21/2022
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