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Organization
SMALL TALK THERAPY, PLLC
Active
Organization
SMALL TALK THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE LENTZ (OWNER)
(704) 682-4421
Entity
Organization
Contact information
Practice address
463 LENTZ RD, STATESVILLE, NC 28625-1596
(704) 682-4421
Mailing address
463 LENTZ RD, STATESVILLE, NC 28625-1596
(704) 682-4421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871597617
—
NC
Enumeration date
08/12/2016
Last updated
08/12/2016
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