MRS. Kelly Brooke Destefano
NPI #1073652194 in Holly Springs, North Carolina
Provider Information
- NPI Number
- 1073652194
- Entity Type
- Individual
- Name
- MRS. Kelly Brooke Destefano
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- 5509 POINT LAKE CT
- City
- Holly Springs
- State
- North Carolina
- ZIP Code
- 27540-9349
- Phone
- (919) 656-2901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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