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1447493788
NICOLE M CHAMP
KENNESAW, GA
NPI
1447493788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007192)
Enumeration Date
2009-04-16
Last Update Date
2013-05-22
Business Address
-- NICOLE M CHAMP CCC-SLP
3816 HARRIS BLVD NW
KENNESAW, GA 30144-6095
Phone number: 770-608-3783
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Mailing Address
-- NICOLE M CHAMP CCC-SLP
3816 HARRIS BLVD NW
KENNESAW, GA 30144-6095
Phone number: 770-608-3783
Copy
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