Individual
CAMRYN GRACE HEATWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203-5812
(704) 381-2000
Mailing address
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002750
NC
Other
Enumeration date
03/03/2025
Last updated
03/10/2025
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