Individual
JACKLYN COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
1807 MAJESTIC DR, DURHAM, NC 27707-4347
(919) 680-4907
Mailing address
1807 MAJESTIC DR, DURHAM, NC 27707-4347
(919) 680-4907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8865
NC
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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