Individual
MS. JANE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MA; CCC-SLP
Contact information
Practice address
102 HILLSIDE CT, ARCHDALE, NC 27263-3096
(336) 848-3558
Mailing address
102 HILLSIDE CT, ARCHDALE, NC 27263-3096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2029
NC
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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