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Organization

GO YOUR OWN WAY, INC.

Active
Other names
Learning Charms
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE SEYMORE WICK MOT (OCCUPATIONAL THERAPIST / PRESIDENT)
(980) 721-4839
Entity
Organization

Contact information

Practice address
1532 STERLING RD, CHARLOTTE, NC 28209-1546
(980) 721-4839
(980) 229-4642
Mailing address
1532 STERLING RD, CHARLOTTE, NC 28209-1546
(980) 225-5414
(980) 229-4642

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7200486
NC
Enumeration date
09/03/2010
Last updated
04/29/2015
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