Organization
SANDERSVILLE SPEECH AND SWALLOWING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CASTO M.ED CCC SLP (OWNER/SLP)
(706) 347-0166
Entity
Organization
Contact information
Practice address
1019 PLANTATION DR, SANDERSVILLE, GA 31082-3329
(706) 347-0166
Mailing address
1019 PLANTATION DR, SANDERSVILLE, GA 31082-3329
(706) 347-0166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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