Organization
CLINICAL SPEECH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INMACULADA SIMANCAS MARTIN MS, CCC-SLP (MEMBER AND ORGANIZER)
(919) 353-1212
Entity
Organization
Contact information
Practice address
511 S 5TH ST, SANFORD, NC 27330-4910
(919) 353-1212
Mailing address
511 S 5TH ST, SANFORD, NC 27330-4910
(919) 353-1212
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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