Individual
MRS. AMY T SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC S.L.P.
Contact information
Practice address
200 ATLANTA PROVIDENCE CT, MILTON, GA 30004-7523
(678) 824-2145
Mailing address
200 ATLANTA PROVIDENCE CT, MILTON, GA 30004-7523
(678) 824-2145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008235
GA
Other
Enumeration date
06/12/2012
Last updated
11/25/2013
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