Individual
MRS. KIMBERLY BOWEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
459 HWY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0358
Mailing address
111 BROOKFIELD DR, GUYTON, GA 31312-5815
(478) 719-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1110116
FL
235Z00000X
Speech-Language Pathologist
PCET001429
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP007321
GA
Other
Enumeration date
09/01/2009
Last updated
11/12/2018
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