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1447334446
ELIZABETH SHIELDS FAGG
CHARLOTTE, NC
NPI
1447334446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 6845)
Enumeration Date
2006-10-25
Last Update Date
2012-03-26
Business Address
Mrs. ELIZABETH SHIELDS FAGG M.S.
4012 PARK RD SUITE 200
CHARLOTTE, NC 28209-2377
Phone number: 704-332-4824
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Mailing Address
Mrs. ELIZABETH SHIELDS FAGG M.S.
2420 E 5TH ST
CHARLOTTE, NC 28204-4339
Phone number: 704-332-4834
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