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Individual

MICHELLE DESHAWN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2169 LAKE PARK DR SE, APT O, SMYRNA, GA 30080-8875
(678) 778-4088
Mailing address
PO BOX 675982, MARIETTA, GA 30006-0024
(678) 778-4088

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007304
GA

Other

Enumeration date
05/31/2010
Last updated
06/09/2011
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