Individual
JUDITH KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 IVEYRIDGE DR, WAXHAW, NC 28173-7572
(704) 841-3616
(704) 841-3616
Mailing address
1308 IVEYRIDGE DR, WAXHAW, NC 28173-7572
(704) 841-3616
(704) 841-3616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412359
—
NC
05
—
SAN044
—
SC
Enumeration date
03/28/2007
Last updated
07/16/2007
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