Individual
DIANE DRAKULIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20427 HAVENVIEW DR, CORNELIUS, NC 28031-7087
(704) 895-5048
Mailing address
20427 HAVENVIEW DR, CORNELIUS, NC 28031-7087
(704) 895-5048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2472
NC
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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