Individual
KIMBERLY REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
311 COOPER RD, LOGANVILLE, GA 30052-4976
(678) 205-5437
(678) 377-7950
Mailing address
1211 BRIDGEWATER WALK, SNELLVILLE, GA 30078-2056
(678) 205-5437
(678) 377-7950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005336
GA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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