Individual
MRS. KENDRA CHURCH GRAYBEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5624 IDLEWILD RD, FLEETWOOD, NC 28626-9421
(336) 877-1322
(336) 877-1322
Mailing address
5624 IDLEWILD RD, FLEETWOOD, NC 28626-9421
(336) 877-1322
(336) 877-1322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7401092
—
NC
Enumeration date
12/27/2006
Last updated
07/08/2007
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