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Individual

MRS. AMY KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSCCC-SLP

Contact information

Practice address
2101 SARDIS RD N, SUITE 112, CHARLOTTE, NC 28227-7711
(704) 845-6134
(704) 845-8024
Mailing address
2101 SARDIS RD N, SUITE 112, CHARLOTTE, NC 28227-7711
(704) 845-6134
(704) 845-8024

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10008177
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7200296
NC
Enumeration date
04/26/2013
Last updated
04/26/2013
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