KENNETH ALLEN THISDALE

SNELLVILLE, GA
NPI1013901156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP003500)
Enumeration Date2005-09-06
Last Update Date2007-07-08
Business Address
Mr. KENNETH ALLEN THISDALE M.A., CCC-SLP
948 WOOD DUCK CT
SNELLVILLE, GA 30078-7728
Phone number: 404-964-7808
Mailing Address
Mr. KENNETH ALLEN THISDALE M.A., CCC-SLP
948 WOOD DUCK CT
SNELLVILLE, GA 30078-7728
Phone number: 404-964-7808
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