Individual
MRS. PENNY NORDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
4062 WATKINS GLEN DR, WOODSTOCK, GA 30189-5496
(404) 862-1704
(770) 516-2097
Mailing address
4062 WATKINS GLEN DR, WOODSTOCK, GA 30189-5496
(404) 862-1704
(770) 516-2097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002067
GA
Other
Enumeration date
10/23/2006
Last updated
07/09/2007
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