Individual
ALEXIS R MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 BLUE CEDAR CT, RIVERDALE, GA 30274-4553
(404) 660-6549
Mailing address
520 BLUE CEDAR CT, RIVERDALE, GA 30274-4553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14100543
GA
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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