Individual
GRACE MAO WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6980 ROSWELL RD UNIT C7, ATLANTA, GA 30328-2273
(678) 315-4005
Mailing address
6980 ROSWELL RD UNIT C7, ATLANTA, GA 30328-2273
(678) 315-4005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002523
GA
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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