Individual
MS. ANNA MARIE STA. MARIA-NASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7440 HIGHWAY 92, WOODSTOCK, GA 30189-3527
(770) 212-2170
(770) 783-8639
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 212-2170
(770) 783-8639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008701
GA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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