Organization
BEAUTIFUL BEGINNINGS: A SPEECH AND LANGUAGE PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GILLIOM M.ED.,CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(919) 358-2520
Entity
Organization
Contact information
Practice address
1507 BRAMBLE DR, DURHAM, NC 27712-1209
(919) 358-2520
(919) 479-7300
Mailing address
1507 BRAMBLE DR, DURHAM, NC 27712-1209
(919) 358-2520
(919) 479-7300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7785
NC
Other
Enumeration date
05/20/2011
Last updated
07/07/2011
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