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Organization

HOMEFRONT SPEECH THERAPY, PLLC

Active
Parent organization
HOMEFRONT SPEECH THERAPY, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOMEFRONT SPEECH THERAPY, PLLC
Authorized official
MARY ELIZABETH MCEWEN (SPEECH-LANGUAGE PATHOLOGIST)
(706) 512-7636
Entity
Organization

Contact information

Practice address
19519 DEER VALLEY DR, CORNELIUS, NC 28031-5691
(706) 512-7636
Mailing address
19519 DEER VALLEY DR, CORNELIUS, NC 28031-5691
(706) 512-7636

Taxonomy

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

Other

Enumeration date
06/05/2024
Last updated
06/19/2024
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