Individual
ANNA D WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP008145
GA LICENSE
GA
Enumeration date
06/21/2012
Last updated
01/31/2019
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