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Individual

FALINE DIAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, SLP

Contact information

Practice address
812 CANDY PARK RD, SUITE 7101A, PEMBROKE, NC 28372-9129
(910) 521-1677
(910) 521-1676
Mailing address
POST OFFICE BOX 3442, PEMBROKE, NC 28372-3442
(910) 521-1677
(910) 521-1676

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3093
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7412034
NC
Enumeration date
11/19/2012
Last updated
11/19/2012
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