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Organization

GAINEY & ROVERATO THERAPEUTIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHARISSE N. GAINEY MED, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(919) 423-0465
Entity
Organization

Contact information

Practice address
261 TADCASTER CT, RAEFORD, NC 28376-6623
(919) 423-0465
Mailing address
261 TADCASTER CT, RAEFORD, NC 28376-6623
(919) 423-0465

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7297
NC
235Z00000X
Speech-Language Pathologist
7513
NC

Other

Enumeration date
03/15/2016
Last updated
03/23/2016
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