Individual
MRS. LISA MARIE ANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
205 SOUTH STERLING STREET, MORGANTON, NC 28655-3568
(828) 438-8833
Mailing address
PO BOX 9044, MORGANTON, NC 28680-9044
(828) 438-8833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5618
NC
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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