Individual
MS. LA TOYA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,A.T.,SLPA
Contact information
Practice address
130 PEBBLE RIDGE DR, COVINGTON, GA 30014-8452
(404) 229-4518
Mailing address
130 PEBBLE RIDGE DR, COVINGTON, GA 30014-8452
(404) 229-4518
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA000235
GA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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