Individual
MISS KACIE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
905 S LASALLE ST, DURHAM, NC 27710-3017
(919) 684-3127
Mailing address
BOX 103857, GSRB1 905 S LASALLE STREET, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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