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Organization
ALOHA SWIM AND SPEECH THERAPY
Active
Organization
ALOHA SWIM AND SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN MALLORY SLP (SPEECH LANGUAGE PATHOLOGITS/OWNER)
(706) 741-3506
Entity
Organization
Contact information
Practice address
229 UPPER COVE RD, WOODBURY, GA 30293-3906
(706) 741-3506
Mailing address
229 UPPER COVE RD, WOODBURY, GA 30293-3906
(706) 741-3506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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