Individual
CAROLINE HARRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
141 N MAIN ST, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
Mailing address
8420 PINE LAKE RD, DENVER, NC 28037-8814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9633
NC
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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