Individual
KRISTEN M MENAPACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 COUNTRY PARK DR SE, SMYRNA, GA 30080-8221
(616) 914-8211
Mailing address
703 COUNTRY PARK DR SE, SMYRNA, GA 30080-8221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010547
GA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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