Organization
MAPLE CLINIC FOR SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GAWEL (OWNER/OPERATOR)
(770) 990-5989
Entity
Organization
Contact information
Practice address
7824 TYREE RD, WINSTON, GA 30187-1230
(770) 990-5989
Mailing address
7824 TYREE RD, WINSTON, GA 30187-1230
(770) 990-5989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009842
GA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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