Individual
DOMINIQUE YVETTE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
805 GLYNN ST S, SUITE 127-193, FAYETTEVILLE, GA 30214-2000
(404) 590-1237
Mailing address
805 GLYNN ST S, SUITE 127-193, FAYETTEVILLE, GA 30214-2000
(404) 590-1237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007158
GA
Other
Enumeration date
10/26/2012
Last updated
01/21/2015
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