Individual
LISA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
215 HURT ST NE, ATLANTA, GA 30307-2536
(404) 432-4406
Mailing address
215 HURT ST NE, ATLANTA, GA 30307-2536
(404) 432-4406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008790
GA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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