Annette S Liles, MACCC/SLP
NPI #1134594393 in Davidson, North Carolina
Provider Information
- NPI Number
- 1134594393
- Entity Type
- Individual
- Name
- Annette S Liles, MACCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MACCC/SLP
- Enumeration Date
- Dec 14, 2015
- Last Updated
- Dec 14, 2015
Practice Location
- Address
- 709 NORTHEAST DR
- Address 2
- UNIT 23
- City
- Davidson
- State
- North Carolina
- ZIP Code
- 28036-7430
- Phone
- (980) 328-4255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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