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Organization
MY LANE THERAPY SERVICES, PLLC
Active
Organization
MY LANE THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BUTLER CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(336) 254-1171
Entity
Organization
Contact information
Practice address
392 NORTHBRIDGE DR, HIGH POINT, NC 27265-3061
(336) 254-1171
Mailing address
392 NORTHBRIDGE DR, HIGH POINT, NC 27265-3061
(336) 254-1171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/20/2021
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