Individual
LAUREN KIRCHEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
1780 HERITAGE CENTER DR STE 204, WAKE FOREST, NC 27587-3981
(919) 219-5277
Mailing address
620 DR CALVIN JONES HWY STE 200, WAKE FOREST, NC 27587-3100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12603
NC
Other
Enumeration date
11/29/2017
Last updated
01/03/2020
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