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Individual

KATIE JOHN E CARNELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
58 OFFICE PARK DR, JACKSONVILLE, NC 28546-3218
(910) 353-2440
(910) 313-0951
Mailing address
202 GOLD LEAF DR, UNIT 2C, HAMPSTEAD, NC 28443-3556
(515) 408-4844

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11708
NC

Other

Enumeration date
12/04/2015
Last updated
12/04/2015
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