Individual
NADRA DESHAE MELLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 VERANDA CHASE DR, LAWRENCEVILLE, GA 30044-7159
(225) 938-8021
Mailing address
313 VERANDA CHASE DR, LAWRENCEVILLE, GA 30044-7159
(225) 938-8021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000983
GA
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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