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Individual

MRS. AMALIA VLACHOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
3105 CREEKSIDE VILLAGE DR NW, SUITE 603, KENNESAW, GA 30144-2394
(770) 974-2424
Mailing address
633 VICKERY WAY NE, MARIETTA, GA 30066-4815
(770) 425-2578

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007049
GA

Other

Enumeration date
08/10/2010
Last updated
08/10/2010
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