Individual
MRS. KELLY COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
5401 LAWNDALE DR, GREENSBORO, NC 27455-2127
(336) 324-4733
Mailing address
3902 BRANDT LAKE CT, GREENSBORO, NC 27410-9497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9572
NC
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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