SOUTHPORT SPEECH AND LANGUAGE, PLLC

BOLIVIA, NC
NPI1386465045
Entity TypeOrganization
Authorized ContactLAURA ANN MCDANIEL O'CONNELL
Owner
336-404-4802
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
SOUTHPORT SPEECH AND LANGUAGE, PLLC
1746 E CORONADO AVE SE
BOLIVIA, NC 28422-0900
Phone number: 336-404-4802
Mailing Address
SOUTHPORT SPEECH AND LANGUAGE, PLLC
1746 E CORONADO AVE SE
BOLIVIA, NC 28422-0900
Phone number: 336-404-4802
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