Individual
ILENE KAUFMAN MONAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 783-8639
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 783-8639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000671
GA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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