Individual
MRS. DIANE RAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
3901 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6255
(910) 679-8385
Mailing address
926 MALLARD BAY RD, HAMPSTEAD, NC 28443-2584
(910) 512-6288
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1687
NC
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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