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Organization

1-2-3 TALK TO ME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE GREEN CCC-SLP (MANAGER)
(704) 973-0149
Entity
Organization

Contact information

Practice address
7706 ABBOTSINCH CT, CHARLOTTE, NC 28269-0779
(704) 973-0149
(704) 973-0149
Mailing address
PO BOX 620655, CHARLOTTE, NC 28262-0110
(704) 973-0149
(704) 973-0149

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5869
NC

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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