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Individual

CHANDA DANIELS-DAVIS

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
301 S CHURCH ST STE 254, ROCKY MOUNT, NC 27804-5749
(252) 567-3799
(252) 443-5676
Mailing address
301 S CHURCH ST STE 254, ROCKY MOUNT, NC 27804-5749
(252) 567-3799
(252) 443-5676

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6726
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7412335
NC
Enumeration date
06/15/2006
Last updated
01/18/2021
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