Individual
CRYSTAL MARIE TEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 320-8275
Mailing address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11046
NC
235Z00000X
Speech-Language Pathologist
Primary
3588
SC
235Z00000X
Speech-Language Pathologist
SLP005985
GA
Other
Enumeration date
07/17/2022
Last updated
02/19/2024
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