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Individual

TERESA JOANNE SPELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1121 POWDER CT, FUQUAY VARINA, NC 27526-5571
(919) 917-2994
Mailing address
1121 POWDER CT, FUQUAY VARINA, NC 27526-5571
(919) 917-2994

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
NC

Other

Enumeration date
11/07/2018
Last updated
11/07/2018
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