Individual
MRS. AMIE THOBURN SIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
710 JULIAN RD, SALISBURY, NC 28147-9079
(704) 636-5812
Mailing address
710 JULIAN RD, SALISBURY, NC 28147-9079
(704) 636-5812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1812121
NC
Other
Enumeration date
02/19/2018
Last updated
03/13/2018
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