Individual
KARISSA DORLEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1289 OLIVER STREET, FAYETTEVILLE, NC 28304
(910) 483-8331
Mailing address
2401 ROBESON STREET, 2ND FLOOR, FAYETTEVILLE, NC 28305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10058
NC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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