Organization
MILTON SPEECH PATHOLOGY, LLC
Active
Other names
Amy Squires, SLP
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SQUIRES SLP (CEO)
(404) 719-3991
Entity
Organization
Contact information
Practice address
1004 BOMBAY LN, ROSWELL, GA 30076-5820
(404) 719-3991
Mailing address
1004 BOMBAY LN, ROSWELL, GA 30076-5820
(404) 719-3991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008235
GA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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