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Individual

JOANNA CHANLETT PROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
4328 PIN OAK DR, DURHAM, NC 27707-5272
(919) 824-1534
Mailing address
123 CEDAR HILLS CIR, CHAPEL HILL, NC 27514-1628
(984) 330-4377

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11611
NC
235Z00000X
Speech-Language Pathologist
7101008738
MI

Other

Enumeration date
08/26/2015
Last updated
06/30/2025
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