Individual
MRS. MARTHA LEMUS-MEDINA VILLWOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., CCC/SLP
Contact information
Practice address
4243 DUNWOODY CLUB DR, SUITE 104, ATLANTA, GA 30350-5206
(770) 901-9949
(770) 901-9932
Mailing address
PO BOX 888193, DUNWOODY, GA 30356-0193
(770) 901-9949
(770) 901-9932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005361
GA
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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