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Individual

MS. NICOLE OCTAVIA SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CCC,SLP

Contact information

Practice address
971 ESTES DR SW, ATLANTA, GA 30310-5001
(267) 243-5652
Mailing address
971 ESTES DR SW, ATLANTA, GA 30310-5001
(267) 243-5652

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013662
GA

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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