Individual
MRS. HALEY GOWER VRADENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC- SLP
Contact information
Practice address
907 S MAIN ST, LILLINGTON, NC 27546-5839
(910) 814-1560
Mailing address
111 S RAILROAD AVE, DUNN, NC 28334-4853
(910) 892-0027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11260
NC
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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