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Individual

KATHLEEN MACKLIN SMOTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3522 HAWORTH DR, RALEIGH, NC 27609-7217
(919) 978-1361
(919) 782-1485
Mailing address
3522 HAWORTH DR, RALEIGH, NC 27609-7217
(919) 978-1361
(919) 782-1485

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2285
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7412316
NC
Enumeration date
12/03/2007
Last updated
01/02/2008
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