Individual
KIMBERLY KRISTEN PERRY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
173 DOGWOOD HILLS RD, AMERICUS, GA 31709-5305
(229) 942-1304
Mailing address
173 DOGWOOD HILLS RD, AMERICUS, GA 31709-5305
(229) 942-1304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009722
GA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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