Individual
MRS. KRISTEN MARIE ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7185 HARTSFIELD PL, SUWANEE, GA 30024-3425
(404) 202-2220
Mailing address
7185 HARTSFIELD PL, SUWANEE, GA 30024-3425
(404) 202-2220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008742
GA
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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