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Organization
KIDS SPEECH AND OT
Active
Organization
KIDS SPEECH AND OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATERRIAN ROBINSON (CEO/OWNER)
(205) 602-2337
Entity
Organization
Contact information
Practice address
2395 WALL ST SE STE 290, CONYERS, GA 30013-6703
(205) 602-2337
Mailing address
2395 WALL ST SE STE 290, CONYERS, GA 30013-6703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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