Individual
MISS KRISTEN LANE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
1266 HOUNDSLAKE DR, MARIETTA, GA 30008-8715
(678) 523-4734
Mailing address
1266 HOUNDSLAKE DR, MARIETTA, GA 30008-8715
(678) 523-4734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006386
GA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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