Individual
KATELYN HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WILCOX ST, APT 814, CHARLOTTE, NC 28203-4144
(757) 602-6858
Mailing address
425 WILCOX ST, APT 814, CHARLOTTE, NC 28203-4144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1606281
NC
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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