Individual
KATHRYN MILES VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3650 HIGHLANDS PKWY SE, SMYRNA, GA 30082
(678) 305-9200
Mailing address
3650 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
(678) 305-9200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008642
GA
Other
Enumeration date
08/10/2014
Last updated
08/31/2018
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