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Individual

GENEVIEVE KENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
Mailing address
PO BOX 1071, GAINESVILLE, GA 30503-1071

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011501
GA

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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