Individual
KATHLEEN MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 PRYTANIA RD, WINSTON SALEM, NC 27106-5021
(828) 275-0132
Mailing address
3120 PRYTANIA RD, WINSTON SALEM, NC 27106-5021
(828) 275-0132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7113
NC
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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