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Organization

ANGEL HEART SPEECH & LANGUAGE SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARYLOU RICE MA, CCC-SLP (PRESIDENT)
(336) 312-2705
Entity
Organization

Contact information

Practice address
6711 BUGLE RUN, OAK RIDGE, NC 27310-9753
(336) 312-2705
(336) 644-1148
Mailing address
6711 BUGLE RUN, OAK RIDGE, NC 27310-9753
(336) 312-2705
(336) 644-1148

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3515
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7411116
NC
Enumeration date
08/20/2008
Last updated
08/20/2008
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