| NPI | 1346929387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MALLORY Speech Language Pathologits/Owner 706-741-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |