Individual
MRS. KENDRA GENINE SHULER GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
850 WALKINGSTICK DR, DOUGLASVILLE, GA 30134-4277
(678) 838-1694
Mailing address
850 WALKINGSTICK DR, DOUGLASVILLE, GA 30134-4277
(678) 838-1694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006943
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP006943
STATE LICENSE
GA
Enumeration date
03/23/2010
Last updated
03/23/2010
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