Individual
CHANTRES AUSTIN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A. CCC-SLP
Contact information
Practice address
2001 VAN HAVEN DR, STATESVILLE, NC 28625-4342
(704) 883-9700
Mailing address
130 STONE HOUSE DR, STATESVILLE, NC 28625-1943
(704) 450-9809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5597
NC
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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