Individual
ELIJAH MARK AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13825 HUNTON LN, HUNTERSVILLE, NC 28078-6190
(803) 920-1975
Mailing address
1211 NORMAN RIDGE LN APT 305, DENVER, NC 28037-0657
(803) 920-1975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001821
NC
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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