Individual
MRS. GINA ANN CANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
64 NORTH AVE, TEMPLE, GA 30179
(678) 907-5848
Mailing address
64 NORTH AVENUE, TEMPLE, GA 30179
(678) 907-5848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003361
GA
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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