Individual
FLEETINA TISDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
113 CIMMARON CT, CARY, NC 27511-3147
(919) 389-6155
Mailing address
113 CIMMARON CT, CARY, NC 27511-3147
(919) 389-6155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8256
NC
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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