Individual
MIESHA BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3776 LAVISTA RD STE 250, TUCKER, GA 30084-5657
(770) 862-6447
(833) 232-1614
Mailing address
3776 LAVISTA RD STE 250, TUCKER, GA 30084-5657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012183
GA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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