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Organization
SPEECH PATHOLOGY AND AUDIOLOGY SERVICES OF ROBESON
Active
Organization
SPEECH PATHOLOGY AND AUDIOLOGY SERVICES OF ROBESON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER INMAN STEPHENSON M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(910) 738-6071
Entity
Organization
Contact information
Practice address
765 OAKRIDGE BLVD, LUMBERTON, NC 28358-2325
(910) 738-6071
(910) 738-3002
Mailing address
765 OAKRIDGE BLVD, LUMBERTON, NC 28358-2325
(910) 738-6071
(910) 738-3002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5408
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740235M
—
NC
Enumeration date
12/12/2006
Last updated
04/18/2016
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