Individual
MRS. KELLY SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
1701 POINT OWOODS CT, RALEIGH, NC 27604-5838
(919) 212-0726
Mailing address
1701 POINT OWOODS CT, RALEIGH, NC 27604-5838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5481
NC
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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