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Organization
SPARK SPEECH PLLC
Active
Organization
SPARK SPEECH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDYSON BROTHERTON (PRESIDENT)
(980) 241-3066
Entity
Organization
Contact information
Practice address
149 SCOFIELD RD, CHARLOTTE, NC 28209-3625
(980) 241-3066
Mailing address
149 SCOFIELD RD, CHARLOTTE, NC 28209-3625
(980) 241-3066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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