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Individual

MS. MANDY MARIE SINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED CCC-SLP

Contact information

Practice address
2620 N BERKELEY LAKE RD NW, APT 535, DULUTH, GA 30096-1448
(678) 362-1774
Mailing address
2620 N BERKELEY LAKE RD NW, APT 535, DULUTH, GA 30096-1448
(678) 362-1774

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006879
GA

Other

Enumeration date
02/12/2009
Last updated
02/12/2009
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