Individual
BETHANY BROOKE FEDEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
111 S RAILROAD AVE, DUNN, NC 28334-4853
(910) 892-0027
Mailing address
111 S RAILROAD AVE, DUNN, NC 28334-4853
(910) 892-0027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10461
NC
Other
Enumeration date
05/31/2013
Last updated
06/09/2014
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