Individual
KERRY MARIE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10030 EDISON SQUARE DR NW, CONCORD, NC 28027-8308
(704) 499-8888
Mailing address
10030 EDISON SQUARE DR NW, CONCORD, NC 28027-8308
(704) 499-8888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
021907-1
NY
235Z00000X
Speech-Language Pathologist
Primary
10115
NC
235Z00000X
Speech-Language Pathologist
190480914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255664900
—
NC
Enumeration date
09/14/2009
Last updated
07/21/2022
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