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Individual

CHARLES LOGAN BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
1114 EASTCHESTER DR, HIGH POINT, NC 27265-3114
(336) 802-1007
(336) 888-3585
Mailing address
PO BOX 749, BELMONT, NC 28012
(704) 869-2088
(980) 288-4239

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
124682
TX
235Z00000X
Speech-Language Pathologist
Primary
30000844
NC
235Z00000X
Speech-Language Pathologist
SL018979
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043093099
NC
05
104598210-0001
PA
Enumeration date
08/15/2023
Last updated
07/29/2026
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