Individual
MS. ANGELA MARIE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5375 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-6746
(470) 545-6228
Mailing address
4011 SHELDON DR NE, ATLANTA, GA 30342-4213
(404) 695-0071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009659
GA
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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