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Individual

MRS. ELIZABETH CLONINGER GAMIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., CCC-SLP

Contact information

Practice address
951 US HIGHWAY 64, MANTEO, NC 27954-9537
(252) 473-2733
(252) 473-6673
Mailing address
951 US HIGHWAY 64, MANTEO, NC 27954-9537
(252) 473-2733
(252) 473-6673

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3860
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7212018
NC
05
7412064
NC
Enumeration date
06/25/2007
Last updated
05/11/2009
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