Organization
SPEECH UNLIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIQUA JOHNSON (SPEECH LANGUAGE PATHOLOGIST)
(347) 400-1772
Entity
Organization
Contact information
Practice address
500 SUN VALLEY DR, ROSWELL, GA 30076-1482
(347) 400-1772
Mailing address
5756 GRANDE RIVER RD, ATLANTA, GA 30349-9140
(347) 400-1772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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