Individual
KANDIE TITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 CARLETON DR UNIT 13, WILMINGTON, NC 28403-7412
(910) 367-8208
Mailing address
5006 CARLETON DR UNIT 13, WILMINGTON, NC 28403-7412
(910) 367-8208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8096
NC
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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