Individual
KELLI MARIE SKOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
Mailing address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14394127
GA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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