Organization
CAROLINA SPEECH ACADEMY, PLLC
Active
Other names
Cargill Communications, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN JANELLE CARGILL M.A., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(856) 264-3321
Entity
Organization
Contact information
Practice address
112 S CENTURION LN, MOUNT HOLLY, NC 28120-8716
(856) 264-3321
Mailing address
112 S CENTURION LN, MOUNT HOLLY, NC 28120-8716
(856) 264-3321
(704) 601-5308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306303490
—
NC
05
—
1326462938
—
NJ
Enumeration date
02/25/2019
Last updated
10/20/2020
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