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Individual

CORY QUINLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Mailing address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7729
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146CH
BCBS
NC
05
7412769
NC
Enumeration date
12/14/2006
Last updated
01/09/2008
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