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Individual

KIM RAE POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED - SLP

Contact information

Practice address
2704 LAWNDALE AVE, DURHAM, NC 27705-4058
(919) 632-4360
Mailing address
2704 LAWNDALE AVE, DURHAM, NC 27705-4058
(919) 632-4360

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8890
NC

Other

Enumeration date
06/07/2010
Last updated
06/07/2010
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