Individual
KELLY MARLOWE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
5920 SANDY FORKS RD, RALEIGH, NC 27609-3814
(919) 954-3492
Mailing address
11928 SYCAMORE GROVE LN, RALEIGH, NC 27614-7998
(843) 902-5439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14000
NC
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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