Organization
OUTREACH THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAUNDRA ELOIS HARRIS MA CCC-SLP (SPEECH LANGUAGE PATHOGIST/OWNER)
(404) 277-9869
Entity
Organization
Contact information
Practice address
1307 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3387
(404) 277-9869
Mailing address
1307 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3387
(404) 277-9869
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005643
GA
Other
Enumeration date
10/05/2005
Last updated
08/22/2020
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