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Individual

EMILY LOUISE WIDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
910 BREMERTON DR, GREENVILLE, NC 27858-6548
(252) 916-1029
(252) 355-9218
Mailing address
PO BOX 2417, WINTERVILLE, NC 28590-2417
(252) 916-1029
(252) 355-9218

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9921
NC

Other

Enumeration date
04/27/2012
Last updated
04/27/2012
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