Individual
AMBER DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
2900 LULA LN NW, KENNESAW, GA 30144-2859
(770) 778-6626
Mailing address
2900 LULA LN NW, KENNESAW, GA 30144-2859
(770) 778-6626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007775
GA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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