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Individual

MS. AMANDA KATHLEEN KIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
321 HOSPITAL RD, CANTON, GA 30114-2411
(770) 479-8791
Mailing address
705 CRESCENT CIR, HOLLY SPRINGS, GA 30115-4772

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14321139
GA

Other

Enumeration date
07/20/2020
Last updated
07/20/2020
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