Individual
BIANCA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W PIKE ST STE 130, LAWRENCEVILLE, GA 30046-4894
(770) 289-0308
Mailing address
1863 WILSON MANOR CIR, LAWRENCEVILLE, GA 30045-3743
(770) 570-9244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013368
GA
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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