Individual
KIMBERLY MARIE GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC SLP
Contact information
Practice address
545 OLD NORCROSS RD STE 200, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
Mailing address
6125 ROSWELL RD UNIT 442, ATLANTA, GA 30328-3936
(404) 908-2095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010982
GA
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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