Individual
ANNA PRUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
137 TOWEY TRL, WOODSTOCK, GA 30188-7057
(770) 361-6375
Mailing address
137 TOWEY TRL, WOODSTOCK, GA 30188-7057
(770) 361-6375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006983
GA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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