Individual
DARA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2121 12TH AVE NE, HICKORY, NC 28601-3187
(828) 381-1203
Mailing address
PO BOX 1366, ICARD, NC 28666-1366
(828) 381-1203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412147
—
NC
Enumeration date
01/29/2007
Last updated
08/27/2020
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