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Individual

KRISTIE L MINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
655 MANSELL RD, ROSWELL, GA 30076-4868
(470) 740-9663
(770) 882-2838
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011321
GA
235Z00000X
Speech-Language Pathologist
SP1074
ME

Other

Enumeration date
03/26/2019
Last updated
12/21/2020
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