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Individual

SHELLY LYNN FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
570 W CROSSVILLE RD STE 104, ROSWELL, GA 30075-7510
(404) 547-0825
(770) 783-6618
Mailing address
570 W CROSSVILLE RD STE 104, ROSWELL, GA 30075-7510
(404) 547-0825
(770) 783-6618

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010517
GA

Other

Enumeration date
09/15/2021
Last updated
09/15/2021
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