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Individual

MARLENE PREJEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4535 FLAT SHOALS PKWY, SUITE 301, DECATUR, GA 30034-5039
(404) 245-6457
Mailing address
4535 FLAT SHOALS PKWY, SUITE 301, DECATUR, GA 30034-5039
(404) 245-6457

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003766
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000813535F
GA
Enumeration date
01/22/2007
Last updated
01/10/2013
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