Individual
KATHRYN SWALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2001 CHURCH LN, VILLA RICA, GA 30180-4720
(770) 459-6533
Mailing address
106 BUSH CREEK WAY, BREMEN, GA 30110-4378
(770) 883-9592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002579
GA
Other
Enumeration date
08/30/2017
Last updated
05/26/2020
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