Individual
CHERYL MARIE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-7796
Mailing address
2307 CLEBURNE RDG SW, MARIETTA, GA 30064-2646
(845) 699-5060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
04/21/2010
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