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Individual

LOUISE MARSSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED. CCC-SLP

Contact information

Practice address
1230 JOHNSON FERRY PL, I-20, MARIETTA, GA 30068-2048
(770) 321-6705
Mailing address
6815 CASTLETON DR NW, ATLANTA, GA 30328-2005
(678) 705-7313

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006120
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
485002763A
GA
Enumeration date
04/29/2008
Last updated
09/26/2008
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