Individual
KAITLYN GRACE MCANULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P, CCC-SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Mailing address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13714
NC
Other
Enumeration date
08/30/2018
Last updated
08/08/2019
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