Individual
MRS. KATHY ANN DEROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
419 PROSPECT CHURCH RD, ALBEMARLE, NC 28001-8564
(704) 984-5252
(704) 984-5252
Mailing address
419 PROSPECT CHURCH RD, ALBEMARLE, NC 28001-8564
(704) 984-5252
(704) 984-5252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3535
NC
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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