Individual
CHANTANNA LEWIS FOOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC/SLP
Contact information
Practice address
10043 IDLEWILD ROAD, MATTHEWS, NC 28105
(704) 545-0009
Mailing address
7333 ARAGORN LANE, CHARLOTTE, NC 28212
(803) 707-6892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8499
NC
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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