Individual
HANNAH PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
115 CAMILLE CIR, YOUNGSVILLE, NC 27596-7655
(919) 219-5277
Mailing address
115 CAMILLE CIRCLE, YOUNGSVILLE, NC 27596-7655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10003
NC
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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