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1235325796
KRISTA MULLEN
CANTON, GA
NPI
1235325796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006604)
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
-- KRISTA MULLEN SLP
212 RIVERSTONE DR
CANTON, GA 30114-5256
Phone number: 770-345-7796
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Mailing Address
-- KRISTA MULLEN SLP
425 LONG BRANCH WAY
HOLLY SPRINGS, GA 30115-1806
Phone number:
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