Individual
DANIELLE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3645 MARKETPLACE BLVD, SUITE 130-635, EAST POINT, GA 30344
(678) 793-0624
(184) 472-2701
Mailing address
3645 MARKETPLACE BLVD, SUITE 130-635, EAST POINT, GA 30344
(678) 793-0624
(184) 472-2701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001666
GA
Other
Enumeration date
05/23/2012
Last updated
01/13/2017
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