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Organization
WTR SPRINGBOARD
Active
Organization
WTR SPRINGBOARD
Active
Other names
Sounds Like Speech-Language & Communication
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TOMICKA RENEE WATKINS (OWNER)
(919) 720-8833
Entity
Organization
Contact information
Practice address
3812 TRYON RIDGE DR, RALEIGH, NC 27610-5656
(919) 720-8833
(919) 516-0263
Mailing address
3812 TRYON RIDGE DR, RALEIGH, NC 27610-5656
(919) 720-8833
(919) 516-0263
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5846
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200455
—
NC
Enumeration date
07/22/2011
Last updated
07/05/2013
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