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Individual

LEAH K KENDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., CCC-SLP

Contact information

Practice address
607 ALCOVY RIVER DR, LOGANVILLE, GA 30052-4758
(770) 558-0100
Mailing address
607 ALCOVY RIVER DR, LOGANVILLE, GA 30052-4758
(770) 558-0100

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003096
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000571491G
GA
Enumeration date
12/04/2006
Last updated
05/30/2024
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