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Individual

KARA L GOFORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP/A

Contact information

Practice address
330 TAZEWELL ST, WYTHEVILLE, VA 24382-2316
(276) 228-3561
(276) 228-7277
Mailing address
330 TAZEWELL ST, WYTHEVILLE, VA 24382-2316
(276) 228-3561
(276) 228-7277

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003447
VA

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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