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Organization
VILLAGE REHABILITATION AND CONSULTING CLINIC, LLC
Active
Organization
VILLAGE REHABILITATION AND CONSULTING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE MCRAE (MEMBER/ORGANIZER)
(919) 247-4821
Entity
Organization
Contact information
Practice address
5420 COVINGTON CROSS DR, KNIGHTDALE, NC 27545-7601
(919) 247-4821
Mailing address
5420 COVINGTON CROSS DR, KNIGHTDALE, NC 27545-7601
(919) 247-4821
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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