Individual
MRS. ELENA KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
570 W CROSSVILLE RD STE 104, ROSWELL, GA 30075-7510
(404) 547-0825
(770) 783-6618
Mailing address
570 W CROSSVILLE RD STE 104, ROSWELL, GA 30075-7510
(404) 547-0825
(770) 783-6618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010866
GA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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