Individual
KIMBERLY KLEEMAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
269 SPRINGS XING, CANTON, GA 30114-8855
(770) 345-7796
Mailing address
269 SPRINGS XING, CANTON, GA 30114-8855
(770) 345-7796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3031
TN
235Z00000X
Speech-Language Pathologist
Primary
5634
GA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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