Individual
DEBORAH E MERIDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LRT/CTRS
Contact information
Practice address
6657 KIMESVILLE RD, LIBERTY, NC 27298-9108
(336) 565-9723
(336) 565-0644
Mailing address
6657 KIMESVILLE RD, LIBERTY, NC 27298-9108
(336) 565-9723
(336) 565-0644
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
196
NC
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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