Individual
JAVAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 KENILWORTH AVE STE 100, CHARLOTTE, NC 28204-3874
(704) 523-8027
Mailing address
741 KENILWORTH AVE STE 100, CHARLOTTE, NC 28204-3874
(704) 523-8027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14320576
NC
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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