Individual
MRS. KACIE HUMISTON LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
750 SE CARY PKWY, CARY, NC 27511-5682
(919) 460-9955
Mailing address
750 SE CARY PKWY, CARY, NC 27511-5682
(919) 460-9955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8000
NC
Other
Enumeration date
05/21/2008
Last updated
01/11/2013
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