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Individual

MEGAN GRAY DUNNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1949 HIGHWAY 81 STE 100, LOGANVILLE, GA 30052-4583
(770) 207-6390
Mailing address
1949 HIGHWAY 81 STE 100, LOGANVILLE, GA 30052-4583

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP010760
PROFESSIONAL LICENSE
GA
Enumeration date
03/07/2023
Last updated
03/07/2023
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