Individual
MRS. KELLY BOSEMAN IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
921 JR HIGH SCHOOL RD, SCOTLAND NECK, NC 27874-1219
(252) 826-4144
Mailing address
792 GOOSE CHASE CT, NASHVILLE, NC 27856-7508
(252) 459-4268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8957
NC
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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