Individual
MISS JOANNE LYNN KABANIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6610 CRESCENT MOON CT, APT 301, RALEIGH, NC 27606-3172
(413) 244-7534
Mailing address
4021 BELLA PARK TRL, APT 106, RALEIGH, NC 27613-7096
(413) 244-7534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9705
NC
Other
Enumeration date
11/23/2012
Last updated
04/04/2014
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