Individual
KATHRYN GRIMM CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
103 FREHOLD CT, CARY, NC 27519-7372
(919) 465-4424
Mailing address
12901 BROLEMAN RD, ORLANDO, FL 32832-6107
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA13936
FL
235Z00000X
Speech-Language Pathologist
Primary
13409
NC
235Z00000X
Speech-Language Pathologist
SA13936
FL
Other
Enumeration date
09/09/2014
Last updated
05/06/2022
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