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Individual

ESTEFANIA ESCOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP, BCABA

Contact information

Practice address
500 SPRING ST SE, GAINESVILLE, GA 30501-3773
(786) 397-0034
Mailing address
7130 BIRCH VIEW CT, FLOWERY BRANCH, GA 30542-3313
(786) 397-0034

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
0-21-12733
235Z00000X
Speech-Language Pathologist
SAH-2024-0265
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP013145
GA

Other

Enumeration date
07/09/2020
Last updated
08/26/2024
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