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Individual

MRS. CHRISTINA M SALLUSTIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
1000 STARNES LOOP RD, GRANT, AL 35747-7730
(678) 362-8586
Mailing address
1000 STARNES LOOP RD, GRANT, AL 35747-7730
(678) 362-8586

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004827
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000887422A
GA
Enumeration date
11/15/2006
Last updated
07/20/2026
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