Individual
KATHY LEIGH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
670 LAKE CHARLES WAY, ROSWELL, GA 30075-3316
(404) 425-4948
(770) 645-1313
Mailing address
670 LAKE CHARLES WAY, ROSWELL, GA 30075-3316
(404) 425-4948
(770) 645-1313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007187
GA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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