Individual
KRISTEN RENEE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N MORGAN ST, SHELBY, NC 28150-4434
(704) 202-5104
Mailing address
803 N MAIN ST, GRANITE QUARRY, NC 28146-7325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002292
NC
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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