Individual
ALTHA C SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
125 TOWNPARK DR NW STE 300, KENNESAW, GA 30144-5812
(855) 423-6387
(678) 669-1562
Mailing address
125 TOWNPARK DR NW STE 300, KENNESAW, GA 30144-5812
(855) 423-6387
(678) 669-1562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 005959
GA
Other
Enumeration date
04/14/2011
Last updated
02/08/2018
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