Individual
CHEYENNE CENICEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
SLP
Contact information
Practice address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 687-2542
Mailing address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 687-2542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004182
GA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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