KELLY BROOKE DESTEFANO

HOLLY SPRINGS, NC
NPI1073652194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  7850)
Enumeration Date2007-02-05
Last Update Date2012-08-29
Business Address
Mrs. KELLY BROOKE DESTEFANO
5509 POINT LAKE CT
HOLLY SPRINGS, NC 27540-9349
Phone number: 919-656-2901
Mailing Address
Mrs. KELLY BROOKE DESTEFANO
1914 KIRKWOOD RIDGE DR
RALEIGH, NC 27612-2877
Phone number: 919-710-6477
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