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Organization

GREATER ATLANTA SPEECH & LANGUAGE CLINICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL A STORCH (OFFICE MANAGER)
(770) 977-9457
Entity
Organization

Contact information

Practice address
1515 JOHNSON FERRY RD STE 100, MARIETTA, GA 30062-6492
(770) 977-9457
Mailing address
1515 JOHNSON FERRY RD STE 100, MARIETTA, GA 30062-6492
(770) 977-9457

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008754
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SLP008754
GA
Enumeration date
01/21/2015
Last updated
01/21/2015
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