Individual
JULIA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6405 DEERVIEW DR, RALEIGH, NC 27606-8801
(919) 666-7704
Mailing address
6405 DEERVIEW DR, RALEIGH, NC 27606-8801
(919) 666-7704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14110
NC
Other
Enumeration date
05/06/2019
Last updated
05/01/2020
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