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Individual

KATHRYN JANE PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
3514 UNIVERSITY DR STE 8, DURHAM, NC 27707
(919) 493-7002
(919) 403-1407
Mailing address
3514 UNIVERSITY DR STE 8, DURHAM, NC 27707-2659
(919) 493-7002
(919) 403-1407

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13667
NC
235Z00000X
Speech-Language Pathologist
7101005493
MI

Other

Enumeration date
04/13/2018
Last updated
07/05/2019
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