Individual
KELLY DECAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1404 S SALISBURY AVE, SPENCER, NC 28159-1921
(704) 633-3892
Mailing address
821 E FRONT ST, STATESVILLE, NC 28677-6007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002691
NC
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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