| 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 |