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Organization

SPEECHSPROUT THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIQUE NICOLE ROPER (OWNER)
(470) 997-0542
Entity
Organization

Contact information

Practice address
831 AUBURN RD STE 210, DACULA, GA 30019-5437
(470) 997-0542
Mailing address
831 AUBURN RD STE 210, DACULA, GA 30019-5437
(470) 997-0542

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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