Individual
AMY WALSER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619A E KING ST, KING, NC 27021-9165
(336) 608-0555
(336) 232-9801
Mailing address
1420 THORNHILL LN, WINSTON SALEM, NC 27106-4769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1840
NC
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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