Individual
MS. DIANNE OLSON ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
805 DOCKBRIDGE WAY, ALPHARETTA, GA 30004-3785
(770) 667-9832
Mailing address
805 DOCKBRIDGE WAY, ALPHARETTA, GA 30004-3785
(770) 667-9832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1557
GA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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