Individual
MS. KELLY L. CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2017 LYNDHURST AVE, CHARLOTTE, NC 28203-5313
(704) 609-8255
Mailing address
312 N CENTRAL AVE, BELMONT, NC 28012-3146
(704) 825-0520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5592
NC
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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