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1013901156
KENNETH ALLEN THISDALE
SNELLVILLE, GA
NPI
1013901156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: GA SLP003500)
Enumeration Date
2005-09-06
Last Update Date
2007-07-08
Business Address
MR. KENNETH ALLEN THISDALE M.A., CCC-SLP
948 WOOD DUCK CT
SNELLVILLE, GA 30078-7728
Phone number: 404-964-7808
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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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