Individual
ANGELICA SHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 JOHNSON FERRY RD STE 100, MARIETTA, GA 30062-6492
(770) 977-9457
Mailing address
2202 CHANDABROOK DR, PELHAM, AL 35124-1051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5095
AL
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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