Individual
LAQUINTA KHALDUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2101 SARDIS RD N, STE 112, CHARLOTTE, NC 28227-7711
(704) 845-6134
Mailing address
12030 BAY TREE WAY, CHARLOTTE, NC 28277-5653
(704) 488-5104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2776
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411546
—
NC
Enumeration date
12/31/2006
Last updated
07/09/2007
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