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Individual

EMILY ANNE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
Mailing address
1208 ASHTON HOLLOW DR, RALEIGH, NC 27603-9412
(732) 216-8232

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003268
NC
235Z00000X
Speech-Language Pathologist
41YS01028500
NJ

Other

Enumeration date
02/14/2019
Last updated
11/04/2024
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