Individual
MS. MARY KATHRYN SUPLITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
2450 ATLANTA HWY STE 1001, CUMMING, GA 30040-1252
(678) 644-0819
(678) 658-9094
Mailing address
2450 ATLANTA HWY STE 1001, CUMMING, GA 30040-1252
(678) 644-0819
(678) 658-9094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP004633
SLP LICENSE #
GA
Enumeration date
03/08/2007
Last updated
02/26/2019
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