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Organization

KATE POLLARD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN RENEE POLLARD M.A., CCC-SLP (MEMBER/MANAGER)
(415) 517-4092
Entity
Organization

Contact information

Practice address
1515 KINGFISHER DR, MARIETTA, GA 30062-2887
(415) 517-4092
Mailing address
1515 KINGFISHER DR, MARIETTA, GA 30062-2887
(415) 517-4092

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007656
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003147070B
GA
Enumeration date
09/11/2014
Last updated
09/11/2014
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