Individual
AUDREY F. WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
3816 N ELM ST STE E, GREENSBORO, NC 27455-2776
(336) 370-4070
(336) 370-9008
Mailing address
2205 ONTARIO ST, GREENSBORO, NC 27403-3639
(336) 370-4070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1580
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NCDHHS
—
NC
Enumeration date
02/18/2009
Last updated
10/31/2012
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