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Organization
SPEECH PARTNERS
Active
Organization
SPEECH PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HOLMES ST (OWNER)
(919) 781-5728
Entity
Organization
Contact information
Practice address
2316 ANDERSON DR, RALEIGH, NC 27608-1404
(919) 781-5728
(919) 781-5744
Mailing address
2316 ANDERSON DR, RALEIGH, NC 27608-1404
(919) 781-5728
(919) 781-5744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NULL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12431
BCBS GROUP
NC
05
—
7211076
—
NC
Enumeration date
05/18/2006
Last updated
10/06/2014
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