Individual
MRS. KAREN JOHNSON HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Mailing address
275 SAINT JOHNS WOOD, FAYETTEVILLE, NC 28303-4975
(919) 819-1072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6059
NC SLP LICENSE
NC
Enumeration date
01/08/2019
Last updated
01/08/2019
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