Individual
SABRINA MARIA THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
116 HAMILTON CROSSING RD NW, CARTERSVILLE, GA 30120-4884
(770) 606-5849
Mailing address
664 OCEAN AVE, CANTON, GA 30114-7284
(407) 697-6068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009657
GA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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