Individual
ELIZABETH GRAY CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1810 HARPER ST NW, ATLANTA, GA 30318-3006
(404) 226-9244
Mailing address
1810 HARPER ST NW, ATLANTA, GA 30318-3006
(404) 226-9244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007434
GA
Other
Enumeration date
09/05/2013
Last updated
02/09/2016
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