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Individual

MRS. JUANITA A ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
Mailing address
407 STOKES DR, SUNSET BEACH, NC 28468-4252
(910) 579-5248
(910) 579-5248

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3670
NC

Other

Enumeration date
12/22/2008
Last updated
12/22/2008
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