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1164899076
JOANNA CHANLETT PROSE
DURHAM, NC
NPI
1164899076
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Other Name
JOHANNA CHANLETT PROSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 11611)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- JOANNA CHANLETT PROSE SLP-CF (CCC pending)
4328 PIN OAK DR
DURHAM, NC 27707-5272
Phone number: 919-824-1534
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Mailing Address
-- JOANNA CHANLETT PROSE SLP-CF (CCC pending)
4328 PIN OAK DR
DURHAM, NC 27707-5272
Phone number: 919-824-1534
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