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Individual

MR. ADAM MUSTAFA AL-MUTAWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 327-4932
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 327-4932

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007920
GA

Other

Enumeration date
08/20/2012
Last updated
08/20/2012
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