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Organization
THOMAS SPEECH THERAPY SERVICES PLLC
Active
Organization
THOMAS SPEECH THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYN THOMAS MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(910) 612-1002
Entity
Organization
Contact information
Practice address
20 MEDICAL CAMPUS DR, SUITE 204, SUPPLY, NC 28462-4096
(910) 612-1002
(910) 755-5865
Mailing address
1176 WOODBRIDGE LN SE, BOLIVIA, NC 28422-8969
(910) 612-1002
(910) 755-5865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6026
NC
Other
Enumeration date
11/24/2011
Last updated
11/24/2011
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