Individual
DEBORAH SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
86 VALLEY HIDEAWAY DR, HAYESVILLE, NC 28904-9674
(828) 389-1441
Mailing address
86 VALLEY HIDEAWAY DR, HAYESVILLE, NC 28904-9674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8112
NC
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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