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Individual

MRS. LANA PERKINS GLADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1330 E ARLINGTON BLVD STE A, GREENVILLE, NC 27858-7850
(252) 758-7048
Mailing address
1330 E ARLINGTON BLVD STE A, GREENVILLE, NC 27858-7850
(252) 758-7048

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8859
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12025358
ASHA NATIONAL LICENSURE
01
4269
SC BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
SC
01
8859
NC BOARD OF EXAMINERS FOR SPEECH AND LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS
NC
Enumeration date
05/18/2007
Last updated
08/27/2010
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