Individual
JULIE MAY STAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W 5TH AVE, RAEFORD, NC 28376-2108
(910) 875-1125
Mailing address
116 W 5TH AVE, RAEFORD, NC 28376-2108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2103215
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103215
NCBOE
NC
Enumeration date
03/03/2021
Last updated
11/20/2025
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