Individual
IVORY GLEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4961 BUFORD HWY, SUITE 201, CHAMBLEE, GA 30341-3535
(404) 575-4000
(404) 575-4010
Mailing address
4961 BUFORD HWY, SUITE 201, CHAMBLEE, GA 30341-3535
(404) 575-4000
(404) 575-4010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005946
GA
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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