Individual
IMANI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2775 CRUSE RD SUITE 2002, LAWRENCEVILLE, GA 30044
(770) 289-0308
Mailing address
3405 SWEETWATER RD 413, LAWRENCEVILLE, GA 30044
(610) 393-7446
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010704
GA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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