Individual
MARIANNE ALTARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 OAKBROOK LAKE DR, NORCROSS, GA 30093
(706) 248-5203
Mailing address
1709 OAKBROOK LAKE DR, NORCROSS, GA 30093-1756
(706) 248-5203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1392961
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1392961
GEORGIA PROFESSIONAL STANDARDS COMMISSION
GA
01
—
14087752
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
—
Enumeration date
07/16/2018
Last updated
12/27/2024
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