Individual
NICOLE CARBONE-HASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
118 S 6TH ST, ODESSA, DE 19730-2060
(302) 376-4128
Mailing address
118 S 6TH ST, ODESSA, DE 19730-2060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007862
VA
Other
Enumeration date
09/25/2015
Last updated
09/10/2021
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