KELLY W KOSTAS

SALISBURY, NC
NPI1922375062
Former NameKELLY W WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  6453)
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
-- KELLY W KOSTAS MA, CCC-SLP
205 E COUNCIL ST
SALISBURY, NC 28144-5080
Phone number: 704-636-3334
Mailing Address
-- KELLY W KOSTAS MA, CCC-SLP
109 BROOKSTONE WAY
SALISBURY, NC 28146-8680
Phone number: