Individual
COLLEEN QUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3325 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 774-2400
Mailing address
3325 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 774-2400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6226
NC
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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