Individual
NEVIN LARA THUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
960 JOHNSON FERRY RD STE 335, ATLANTA, GA 30342-1625
(404) 497-8700
(404) 497-8701
Mailing address
960 JOHNSON FERRY RD STE 335, ATLANTA, GA 30342-1625
(404) 497-8700
(404) 497-8701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011768
GA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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