Individual
MRS. SUSAN KAY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 PRESIDENTS DR, LAWRENCEVILLE, GA 30043-7187
(770) 995-5001
Mailing address
1810 PRESIDENTS DR, LAWRENCEVILLE, GA 30043-7187
(770) 995-5001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001921
GA
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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