Organization
CHILD AND FAMILY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GODWIN (SPEECH-LANGUAGE PATHOLOGIST)
(864) 238-3074
Entity
Organization
Contact information
Practice address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
(704) 332-4834
Mailing address
10516 PARK RD, CHARLOTTE, NC 28210-8405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NC
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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