Kuantara Shorell Ingram, CCC-SLP

NPI #1023627213 in Hoschton, Georgia

Provider Information

NPI Number
1023627213
Entity Type
Individual
Name
Kuantara Shorell Ingram, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
Jul 24, 2020
Last Updated
Jul 24, 2020

Practice Location

Address
5373 THOMPSON MILL RD
State
Georgia
ZIP Code
30548-4037
Phone
(770) 965-7003

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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