Organization
SOUTHEAST FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CALDWELL CCC/SLP (CLINICAL DIRECTOR/OWNER)
(919) 783-8846
Entity
Organization
Contact information
Practice address
3716 NATIONAL DRIVE, SUITE 124, RALEIGH, NC 27612-4863
(919) 783-8846
Mailing address
3716 NATIONAL DRIVE, SUITE 124, RALEIGH, NC 27612-4863
(919) 783-8846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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