Individual
ALICIA KEEN FAIRCLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
415 CHUNNS COVE RD, 100-B, ASHEVILLE, NC 28805-1013
(828) 989-1144
Mailing address
415 CHUNNS COVE RD, 100-B, ASHEVILLE, NC 28805-1013
(828) 989-1144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9090
NC
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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