Individual
CARMEN STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1040 PARK MANOR TER NW, MARIETTA, GA 30064-1455
(404) 290-1960
(770) 783-6768
Mailing address
1040 PARK MANOR TER NW, MARIETTA, GA 30064-1455
(404) 290-1960
(770) 783-6768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006085
GA
Other
Enumeration date
07/08/2007
Last updated
07/08/2007
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