Individual
MRS. SETHLEY BRANAN ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5527
(404) 712-5974
Mailing address
2353 TALAMILL DR, MARIETTA, GA 30066-6472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005805
GA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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