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Individual

KATHLEEN DIANE MORIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
5747 DRAKE RD, GREENSBORO, NC 27406-8022
(336) 674-4250
Mailing address
714 GREEN VALLEY RD, GREENSBORO, NC 27408-7018
(336) 370-8100

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6764
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141RC
BCBS
NC
01
182484
MEDCOST
NC
01
561850178
AMA
NC
05
7412480
NC
Enumeration date
02/12/2007
Last updated
04/17/2026
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