Individual
CAROL C MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC
Contact information
Practice address
707 N ELM ST, HIGH POINT, NC 27262-3917
(336) 885-0141
Mailing address
6122 OLDE FIELDS WAY, PFAFFTOWN, NC 27040-8222
(336) 946-1769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6022
NC
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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