Individual
MRS. KELLY LARUE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
3217 SUMMER STREAM LN NW, KENNESAW, GA 30152-5883
(404) 446-6196
(678) 354-5521
Mailing address
3217 SUMMER STREAM LN NW, KENNESAW, GA 30152-5883
(404) 446-6196
(678) 354-5521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004745
GA
Other
Enumeration date
12/29/2006
Last updated
07/09/2007
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