Individual
PATRICE GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
545 OLD NORCROSS ROAD, SUITE 100, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
(678) 377-2882
Mailing address
PO BOX 78042, ATLANTA, GA 30357-2042
(831) 869-5799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008297
GA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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