| NPI | 1801492616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY VENISE EDGERTON Speech Language Pathologist 336-223-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2023-01-21 |