Individual
KALEIGH MARIE TUTOROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
600 EAGLE LAKE TRL, ROME, GA 30165-2207
(706) 728-3600
Mailing address
156 LOONEY RD SW, ROME, GA 30165-8802
(706) 767-9883
(706) 767-9883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET002795
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP010634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP010634
GA LICENSE
GA
Enumeration date
08/27/2018
Last updated
10/21/2024
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