Individual
MRS. CARRIE VIRGINIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
1014 BREAKMAKER LN, INDIAN TRAIL, NC 28079-5559
(704) 560-4824
Mailing address
PO BOX 1693, INDIAN TRAIL, NC 28079
(704) 560-4824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3539
NC
Other
Enumeration date
08/25/2010
Last updated
11/14/2011
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