Individual
KRISTEN MILLER WOODBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
410 JUNIPER CT, CANTON, GA 30115-6183
(801) 380-1454
Mailing address
410 JUNIPER CT, CANTON, GA 30115-6183
(801) 380-1454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010912
GA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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