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Individual
TAMMY IRWIN
Active
Individual
TAMMY IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135HT
NC BCBS
NC
05
—
7412054
—
NC
Enumeration date
06/16/2005
Last updated
09/27/2007
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