Organization
EFFECTIVE EXPRESSION L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA WOOTEN PRINCIPE MSP, CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(803) 707-6248
Entity
Organization
Contact information
Practice address
2113 ADAMS GRV, COLUMBIA, SC 29203-6951
(803) 707-6248
Mailing address
4305 WILLINGHAM DR, COLUMBIA, SC 29206-1448
(803) 707-6248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4738
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982099909
—
SC
Enumeration date
01/22/2016
Last updated
01/22/2016
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