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Organization
TEACH SPEECH PLLC
Active
Organization
TEACH SPEECH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACY WICKERSON (OWNER)
(704) 258-7031
Entity
Organization
Contact information
Practice address
845 CHURCH ST N, CONCORD, NC 28025-4300
(980) 272-8577
Mailing address
745 NC 24 27 BYP E, ALBEMARLE, NC 28001-5349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
11/06/2024
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