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Individual

KELLY GOAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
3905 UNIVERSITY DRIVE, DURHAM, NC 27707
(919) 928-0204
Mailing address
3905 UNIVERSITY DRIVE, DURHAM, NC 27707

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8920
NC

Other

Enumeration date
08/04/2008
Last updated
04/13/2017
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