Individual
JOHNETTA EMILY CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2401 PATRIOT WAY, UNIT B, GREENSBORO, NC 27408-2744
(336) 638-4678
Mailing address
2401 PATRIOT WAY, UNIT B, GREENSBORO, NC 27408-2744
(336) 638-4678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7705
NC
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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