Individual
HEATHER STAPLETON WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
78 OPAL ST, CARTERSVILLE, GA 30120-2848
(404) 242-2254
Mailing address
312 TEAL CT, ROSWELL, GA 30076-3189
(404) 242-2254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001947
GA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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