Individual
EMMY LOU AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3532 DUNN RD, EASTOVER, NC 28312-8894
(910) 323-3223
Mailing address
921 BAYWOOD RD, FAYETTEVILLE, NC 28312-8997
(910) 578-9457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9768
NC
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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