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Individual
MRS. KIMBERLY ROWE
Active
Individual
MRS. KIMBERLY ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01261735
AMERIGROUP
GA
05
—
700134024B
—
GA
Enumeration date
09/23/2008
Last updated
07/13/2009
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