Organization
ATLANTA WEST SPEECH-LANGUAGE PATHOLOGY AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D'JARIS RENEE WHITE PH.D, (SPEECH-LANGUAGE PATHOLOGIST)
(678) 901-7788
Entity
Organization
Contact information
Practice address
6732 SPRING ST, DOUGLASVILLE, GA 30134-1760
(678) 901-7788
(866) 400-4772
Mailing address
PO BOX 1950, DOUGLASVILLE, GA 30133-1950
(678) 901-7788
(866) 400-4772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005812
GA
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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