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Individual

KAREN D DACONS-BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
5508 BAKERS MILL RD, DURHAM, NC 27707-9747
(919) 402-9512
(919) 489-3923
Mailing address
5508 BAKERS MILL RD, DURHAM, NC 27707-9747

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3262
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7411841
NC
Enumeration date
07/30/2007
Last updated
07/30/2007
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