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1679091730
GINA FEDERAL WEISE
CHARLOTTE, NC
NPI
1679091730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 6375)
Enumeration Date
2017-09-08
Last Update Date
2020-01-29
Business Address
GINA FEDERAL WEISE MSP, CCC-SLP
3205 FREEDOM DR STE 7500
CHARLOTTE, NC 28208-3490
Phone number: 980-280-6526
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Mailing Address
GINA FEDERAL WEISE MSP, CCC-SLP
4921 GRACE VIEW DR
PINEVILLE, NC 28134-7485
Phone number: 704-661-6456
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