Individual
MS. KATY L SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
198 TILLMAN RD, FAYETTEVILLE, GA 30214-4222
(770) 265-1733
Mailing address
198 TILLMAN RD, FAYETTEVILLE, GA 30214-4222
(770) 265-1733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005345
GA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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