Provider First Line Business Practice Location Address:
712 CECIL ST
Provider Second Line Business Practice Location Address:
COMMUNICATION DISORDERS DEPARTMENT
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27707-3255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-530-7836
Provider Business Practice Location Address Fax Number:
919-530-7975
Provider Enumeration Date:
08/23/2007