Individual
KIMMERLY K HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4709 TUGALO TRL, DOUGLASVILLE, GA 30135-5879
(352) 282-1367
Mailing address
4709 TUGALO TRL, DOUGLASVILLE, GA 30135-5879
(352) 282-1367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA12108
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP008206
GA
Other
Enumeration date
04/26/2012
Last updated
01/30/2017
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