Individual
ANNAMARIE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
276 COLEWOOD WAY, ATLANTA, GA 30328-2923
(678) 799-6119
Mailing address
276 COLEWOOD WAY, ATLANTA, GA 30328-2923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009664
—
GA
Enumeration date
07/30/2017
Last updated
07/30/2017
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