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Individual

GRAHAM C. SCHENCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
600 MOYE BLVD, ECU SPEECH LANGUAGE & HEARING CLINIC, GREENVILLE, NC 27834-4300
(252) 744-6104
(252) 744-6148
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10138
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1752T
BCBS
05
7413912
NC
Enumeration date
11/15/2012
Last updated
07/09/2013
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