Individual
KRISTY MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
110 DELAROSE CT SW, ATLANTA, GA 30349-1268
(678) 438-7202
(404) 745-0218
Mailing address
110 DELAROSE CT SW, ATLANTA, GA 30349-1268
(678) 438-7202
(404) 745-0218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005559
GA
Other
Enumeration date
04/09/2007
Last updated
07/09/2007
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