Individual
LORI JILL KLINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5426 AMBER COVE WAY, FLOWERY BRANCH, GA 30542-5737
(770) 967-0136
Mailing address
5426 AMBER COVE WAY, FLOWERY BRANCH, GA 30542-5737
(770) 967-0136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435161759B
—
GA
Enumeration date
05/25/2009
Last updated
05/25/2009
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