Individual
KRISTEN MICHELLE BAMBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
(706) 660-5495
(706) 660-5497
Mailing address
PO BOX 8068, COLUMBUS, GA 31908-8068
(706) 660-5495
(706) 660-5497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001760
GA
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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