Individual
CARISSA MAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
550 PEACHTREE ST NE, EMORY VOICE CENTER, 9TH FLOOR, ATLANTA, GA 30308-2208
(404) 686-1850
Mailing address
550 PEACHTREE ST NE, EMORY VOICE CENTER, 9TH FLOOR, ATLANTA, GA 30308-2208
(404) 686-1850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006066
GA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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