Individual
AVERY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
545 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
Mailing address
545 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-3389
(912) 312-5692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013047
GA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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