Individual
MRS. JILLIAN WATLINGTON KINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
141 N MAIN ST, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
Mailing address
5062 JELYNN ST, RALEIGH, NC 27616-5885
(336) 514-2068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9847
NC
Other
Enumeration date
07/08/2012
Last updated
02/02/2017
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