Individual
KATHERINE HYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 W 1ST ST, WINSTON SALEM, NC 27104-4220
(336) 716-4479
Mailing address
1920 W 1ST ST, WINSTON SALEM, NC 27104-4220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8909
NC
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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