Individual
MARIYA T SYDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 WASHINGTON ST NW STE B2, GAINESVILLE, GA 30501-8545
(770) 534-5141
Mailing address
5850 BROOKTON LULA RD, GAINESVILLE, GA 30506-2909
(770) 983-3221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003393
GA
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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