Individual
ANDREA FAYE NESTOR BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1117 MONTCLAIR DR, PEACHTREE CITY, GA 30269-1879
(770) 486-9768
Mailing address
1117 MONTCLAIR DR, PEACHTREE CITY, GA 30269-1879
(770) 486-9768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001143
GA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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