Individual
MS. JUANITA NICOLE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
995 PINE CIRCLE DR NW, CONCORD, NC 28027-6043
(828) 829-0127
Mailing address
995 PINE CIRCLE DR NW, CONCORD, NC 28027-6043
(828) 829-0127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202412
AR
Other
Enumeration date
08/22/2023
Last updated
10/02/2023
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