Individual
MRS. KEENA MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
545 OLD NORCROSS RD STE 200, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
Mailing address
3030 BUNTEN RD, DULUTH, GA 30096-3609
(770) 232-3370
(770) 232-3372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013166
GA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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