Organization
CREATIVE SPEECH & SPECIALIZED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORIANN E KINNEY (DIRECTOR/MANAGING PARTNER)
(910) 670-6317
Entity
Organization
Contact information
Practice address
132 W ELWOOD AVE, RAEFORD, NC 28376-2802
(910) 670-6317
Mailing address
132 W ELWOOD AVE, RAEFORD, NC 28376-2802
(910) 670-6317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9993
NC
235Z00000X
Speech-Language Pathologist
—
NC
Other
Enumeration date
12/15/2016
Last updated
03/03/2017
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