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Organization

LAKESHORE SPEECH AND LANGUAGE THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MICHELLE PATEL MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(602) 540-9041
Entity
Organization

Contact information

Practice address
105 PALOS VERDE DR, MOORESVILLE, NC 28117-9070
(602) 540-9041
Mailing address
105 PALOS VERDE DR, MOORESVILLE, NC 28117-9070

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11079
NC

Other

Enumeration date
09/08/2017
Last updated
09/08/2017
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