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Organization
WILLOW SPEECH THERAPY
Active
Organization
WILLOW SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DSOUZA (SPEECH-LANGUAGE PATHOLOGIST)
(716) 860-4155
Entity
Organization
Contact information
Practice address
1467 OLIVE HILL AVE NW, CONCORD, NC 28027-3606
(716) 860-4155
Mailing address
1467 OLIVE HILL AVE NW, CONCORD, NC 28027-3606
(716) 860-4155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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