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Individual

MARYANNE M WEATHERILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1441 CLIFTON RD NE, EMORY CENTER FOR REHABILITATION MEDICINE, ATLANTA, GA 30322-1004
(404) 712-5512
Mailing address
3904 N DRUID HILLS RD # 131, DECATUR, GA 30033-3105

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
LL00002834
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP006145
GA

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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