Individual
MRS. TASHA WISEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC
Contact information
Practice address
3483 SATELLITE BLVD, SUITE 304, DULUTH, GA 30096-8692
(770) 418-1778
(770) 418-1794
Mailing address
373 FAIRBROOK CIR NE, MARIETTA, GA 30067-3502
(770) 418-1778
(770) 418-1794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005066
GA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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