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Organization

CAROLINA SPEECH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAQUINTA KHALDUN (DIRECTOR)
(704) 488-5104
Entity
Organization

Contact information

Practice address
2101 SARDIS RD N, STE 112, CHARLOTTE, NC 28227-7711
(704) 488-5104
Mailing address
PO BOX 49663, CHARLOTTE, NC 28277-0082

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7211628
NC
Enumeration date
12/31/2006
Last updated
01/21/2008
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