Individual
MRS. MARTHA CHRISTINE CANNON-MEDCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC
Contact information
Practice address
3483 SATELLITE BLVD, SUITE 304, DULUTH, GA 30096-8692
(770) 418-1778
Mailing address
2800 MANOR BROOK CT, SNELLVILLE, GA 30078-3062
(770) 418-1778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003411
GA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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