Individual
AVA LORETTA WISHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 LAUCHWOOD DR, LAURINBURG, NC 28352-5502
(910) 501-4423
Mailing address
505 LAUCHWOOD DR, LAURINBURG, NC 28352-5502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003852
NC
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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