Individual
PAULINE L KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2160 SMYRNA RIDGE CT SW, CONYERS, GA 30094-6200
(770) 483-1083
(770) 483-1083
Mailing address
2160 SMYRNA RIDGE CT SW, CONYERS, GA 30094-6200
(770) 483-1083
(770) 483-1083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000368
GA
Other
Enumeration date
06/10/2005
Last updated
07/09/2007
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