Individual
KENNEDY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 687-2542
Mailing address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 687-2542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
—
Enumeration date
06/16/2022
Last updated
06/16/2022
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