Individual
BIANCA PATRICE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
13739 STEELE CREEK RD UNIT 103, CHARLOTTE, NC 28273-7139
(704) 980-8646
Mailing address
5714 QUERCUS COVE CT APT 208, CHARLOTTE, NC 28217-0334
(704) 980-8646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11801
NC
Other
Enumeration date
06/08/2016
Last updated
02/18/2022
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