Individual
CAITLIN MCKISSON MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2030 LAURA DUNCAN RD, APEX, NC 27523-9267
(919) 809-5310
Mailing address
802 TEMPLE ST, RALEIGH, NC 27609-4340
(419) 345-5317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10352
NC
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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