Individual
ANNA JANE STREETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
336 W WIEUCA RD NE, ATLANTA, GA 30342-3324
(706) 614-4808
Mailing address
336 W WIEUCA RD NE, ATLANTA, GA 30342-3324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007486
GA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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