Individual
MARY KATHERYN DENMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 CHURCH LN, VILLA RICA, GA 30180-4720
(770) 459-6533
Mailing address
2001 CHURCH LN, VILLA RICA, GA 30180-4720
(770) 459-6533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012195
GA
Other
Enumeration date
07/20/2022
Last updated
07/22/2022
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