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Individual

KAYLEE MARIE LEVIDIOTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
4080 MCGINNIS FERRY RD # B300S302, ALPHARETTA, GA 30005-3948
(770) 410-7719
(770) 410-9510
Mailing address
4080 MCGINNIS FERRY RD # B300, ALPHARETTA, GA 30005-3948
(770) 410-7719
(770) 410-9510

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011292
GA

Other

Enumeration date
10/30/2020
Last updated
10/30/2020
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