Individual
KIMBER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
3385 TRICKUM RD, WOODSTOCK, GA 30188-4234
(678) 909-4930
Mailing address
250 BRANCH VALLEY DR, DALLAS, GA 30132-0833
(678) 313-8464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007226
GA
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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