Individual
MARTHA SUZANNE SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BUILDING G, NORCROSS, GA 30093-3035
(770) 622-2532
(770) 622-2534
Mailing address
114 ANDOVER DR, SAVANNAH, GA 31405-5407
(678) 431-9065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006969
GA
Other
Enumeration date
04/07/2009
Last updated
06/20/2014
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