Individual
LAURA JENNIFER NINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1805 MT ISLE HARBOR DR, CHARLOTTE, NC 28214-5405
(704) 258-1724
Mailing address
10051 PERIMETER STATION DR, APT. 203, CHARLOTTE, NC 28216-3358
(336) 549-2651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9355
NC
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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