Individual
CAROLYN ANN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
1104 BEVILLE RD, SUITE J, DAYTONA BEACH, FL 32114-5797
(386) 252-7837
(386) 252-0021
Mailing address
1104 BEVILLE RD, SUITE J, DAYTONA BEACH, FL 32114-5797
(386) 252-7837
(386) 252-0021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6146
FL
Other
Enumeration date
06/15/2013
Last updated
06/15/2013
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