Individual
MISS COREY ELYSSE KILCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7110 BRIGHTON PARK DR, SUITE 400 PMB 168, MINT HILL, NC 28227-7987
(704) 965-0783
Mailing address
1817 EWING AVE, APT. B, CHARLOTTE, NC 28203-5739
(828) 403-6210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8035
NC
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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