Individual
SARA R BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
400 MARIETTA HWY, ROSWELL, GA 30075-4706
(770) 284-3434
Mailing address
400 MARIETTA HWY, ROSWELL, GA 30075-4706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008616
GA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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