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Individual

ILYSA RIFKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
704 S WASHINGTON ST, MONROE, NC 28112-5570
(704) 282-6259
Mailing address
1012 FORBISHIRE DR, MATTHEWS, NC 28104-6828

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001308
NC

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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