Individual
MS. MARY MANDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED. CCC-SLP
Contact information
Practice address
11835 ALPHARETTA HWY, ROSWELL, GA 30076-4929
(404) 785-8500
Mailing address
PO BOX 741, ALPHARETTA, GA 30009-0741
(404) 785-8471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001193
GA
Other
Enumeration date
06/06/2007
Last updated
12/15/2017
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