Individual
KIMBERLY WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
(706) 310-4103
Mailing address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009282
GA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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