| NPI | 1518414234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY E WILSON Ccc Slp 910-824-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8028) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2017-01-27 |