Individual
SHANNON LATRELL SAULSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1185 RIVERSHYRE PKWY, LAWRENCEVILLE, GA 30043-4435
(706) 993-0579
Mailing address
1185 RIVERSHYRE PKWY, LAWRENCEVILLE, GA 30043-4435
(706) 993-0579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
21-158491
GA
2355S0801X
Speech-Language Assistant
Primary
SI6551
FL
2355S0801X
Speech-Language Assistant
SLPA000261
GA
Other
Enumeration date
05/26/2021
Last updated
08/22/2023
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