Individual
MARY ANN MOKHEMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1200 LAKE HEARN DR NE, SUITE 250, ATLANTA, GA 30319-1415
(404) 943-1070
(404) 943-0890
Mailing address
540 CROSSBRIDGE ALY, JOHNS CREEK, GA 30022-7535
(678) 691-5586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000846
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049102267
DRIVER LICENSE
GA
Enumeration date
08/28/2009
Last updated
08/28/2009
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