Individual
MRS. KATHRYN CLAY BODDICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CC SLP
Contact information
Practice address
105 SKYWATER LN, HOLLY SPRINGS, NC 27540-9489
(919) 244-8640
(919) 267-9383
Mailing address
105 SKYWATER LN, HOLLY SPRINGS, NC 27540-9489
(919) 244-8640
(919) 267-9383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211634
—
NC
Enumeration date
10/25/2006
Last updated
02/10/2016
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