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Individual

ANTOINETTE L. STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
6600 PEACHTREE DUNWOODY RD NE, BLDG 400, STE 125, ATLANTA, GA 30328-6773
(866) 587-9922
(866) 587-9993
Mailing address
4904 VININGS RIDGE TRL SE, MABLETON, GA 30126-5905
(770) 874-3208
(770) 874-3208

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007288
GA

Other

Enumeration date
04/15/2013
Last updated
04/15/2013
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