Individual
KIRSTEN LEIGH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1192 FOSTER ST NW, ATLANTA, GA 30318-4329
(404) 377-7436
Mailing address
1192 FOSTER ST NW, ATLANTA, GA 30318-4329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002154
GA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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