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Organization
DISCOVERY PLAYGROUND, INC
Active
Organization
DISCOVERY PLAYGROUND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L DIBB CCC-SLP (PRESIDENT)
(910) 423-5622
Entity
Organization
Contact information
Practice address
5948 FISHER RD, FAYETTEVILLE, NC 28304
(910) 423-5622
(910) 378-1755
Mailing address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300019
—
NC
Enumeration date
09/19/2012
Last updated
03/15/2021
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