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Organization
SPEAKEASY THERAPY, PLLC
Active
Organization
SPEAKEASY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE CASEY M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(336) 946-2493
Entity
Organization
Contact information
Practice address
8800 BUCKEY CT, LEWISVILLE, NC 27023-7745
(336) 946-2493
(336) 450-2637
Mailing address
8800 BUCKEY CT, LEWISVILLE, NC 27023-7745
(336) 946-2493
(336) 450-2637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7413213
—
NC
Enumeration date
09/30/2010
Last updated
09/30/2010
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