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Organization
RESTORE
Active
Organization
RESTORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JARRETT CEO (EXECUTIVE DIRECTOR)
(704) 559-9409
Entity
Organization
Contact information
Practice address
4350 MAIN ST, HARRISBURG, NC 28075-7433
(704) 559-9409
Mailing address
4350 MAIN ST, HARRISBURG, NC 28075-7433
(704) 559-9409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11180
NC
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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