Organization
SPEECH AND SWALLOWING SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA KOENIG M.ED., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/CEO)
(336) 963-1043
Entity
Organization
Contact information
Practice address
3208 CRAVEN BRANCH RD, RAMSEUR, NC 27316-8490
(336) 963-1043
(336) 615-8443
Mailing address
3208 CRAVEN BRANCH RD, RAMSEUR, NC 27316-8490
(336) 963-1043
(336) 615-8443
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
4183
NC
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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