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Individual

LAURA SOUTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
Mailing address
1811 CHAMPION MT PLEASANT RD, FERGUSON, NC 28624-9119
(828) 386-7373

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001614
NC
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/15/2023
Last updated
03/02/2026
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