NPI | 1457581613 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANA LACY MCQUITTY Owner 336-638-4637 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5120) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2010-04-06 |