Provider First Line Business Practice Location Address:
SPEECH LANGUAGE HEARING CLINIC
Provider Second Line Business Practice Location Address:
SCSU - 300 COLLEGE ST NE
Provider Business Practice Location Address City Name:
ORANGEBURG
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29117-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-536-8589
Provider Business Practice Location Address Fax Number:
803-536-8357
Provider Enumeration Date:
04/01/2014