Organization
COASTAL KIDS SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SHAFFER M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(410) 207-7093
Entity
Organization
Contact information
Practice address
313 GARNERCREST RD, WILMINGTON, NC 28411-9621
(410) 207-7093
(336) 231-8671
Mailing address
313 GARNERCREST RD, WILMINGTON, NC 28411-9621
(410) 207-7093
(336) 231-8671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7831
NC
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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