Individual
MRS. JANET MYRICK WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CCC SP
Contact information
Practice address
2630 WEYMOTH RD, WINSTON-SALEM, NC 27103
(336) 760-4138
Mailing address
2630 WEYMOTH RD, WINSTON-SALEM, NC 27103
(336) 760-4138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1392
NC
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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