Individual
KAMMI BLACKWELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PROFESSIONAL PKWY STE 220, WOODSTOCK, GA 30188-6444
(844) 543-8437
(844) 471-3799
Mailing address
2001 PROFESSIONAL PKWY STE 220, WOODSTOCK, GA 30188-6444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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