Individual
SHAVONTAI GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2150 SOUTHWOOD CV SW UNIT 131, ATLANTA, GA 30331-5880
(803) 342-0283
Mailing address
2150 SOUTHWOOD CV SW UNIT 131, ATLANTA, GA 30331-5880
(803) 342-0283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012857
GA
Other
Enumeration date
07/11/2022
Last updated
05/15/2024
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