PEDIATRIC THERAPY ACHIEVEMENTS, LLC
Speech Language Pathology at Aviary Ln, Johnston, SC

License number
South Carolina 3298
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: TRACIE L BRAZELL MA, CCC-SLP
Title: SPEECH-LANGUAGE PATHOLOGIST
Phone: (803) 640-3984
Address
Address
43 Aviary Ln, Johnston, SC 29832
National Provider ID: 1821395658
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC THERAPY ACHIEVEMENTS, LLC

43 Aviary Ln, Johnston, SC 29832

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Registration:
Feb 9, 2011
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
10/17/2012
Agent:
Tracie Brazell

Speech Language Pathology licenses in South Carolina


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