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Organization

ABC SPEECH AND LANGUAGE THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LETICIA PAYNE CCC-SLP (OWNER)
(404) 931-3901
Entity
Organization

Contact information

Practice address
4002 HIGHWAY 78 W STE 530-217, SNELLVILLE, GA 30039-7915
(404) 931-3901
(678) 344-0512
Mailing address
4002 HIGHWAY 78 W STE 530-217, SNELLVILLE, GA 30039-7915
(404) 931-3901
(678) 344-0512

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003109679A
GA
Enumeration date
06/17/2011
Last updated
06/17/2011
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