Individual
MARTHA MALONEY ELLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 FOUNTAIN DR STE H, SNELLVILLE, GA 30078-2900
(706) 870-3897
Mailing address
811 KINSEY LN, LAWRENCEVILLE, GA 30046-5691
(404) 414-7993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003794
GA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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