Individual
DAISY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2041 NC 210 N, LILLINGTON, NC 27546-7802
(910) 893-8181
Mailing address
2320 US HIGHWAY 70 BUS E, SMITHFIELD, NC 27577-7790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003922
NC
Other
Enumeration date
06/27/2025
Last updated
03/18/2026
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