Individual
ALLISON GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8213
(404) 509-7686
Mailing address
2505 GARDEN PLUM WAY, WOODSTOCK, GA 30189-8105
(225) 288-0284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010708
GA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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