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Organization
PATH PEDIATRIC THERAPY, PLLC
Active
Organization
PATH PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE TAGGART M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(919) 605-2694
Entity
Organization
Contact information
Practice address
7760 PEGRAM ST, WILLOW SPRING, NC 27592-7593
(919) 605-2694
Mailing address
7760 PEGRAM ST, WILLOW SPRING, NC 27592-7593
(919) 605-2694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5820
NC
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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