Individual
CARMEN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
186 WIND CHIME CT STE 104, RALEIGH, NC 27615-6486
(919) 870-1280
(919) 870-1285
Mailing address
3304 ARCHDALE DR, RALEIGH, NC 27614-6953
(919) 606-3308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8873
NC
Other
Enumeration date
05/25/2010
Last updated
04/07/2015
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