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Individual

MRS. DENISE GLASCO-SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4153 FLAT SHOALS PARKWAY, BUILDING C SUITE 300A, DECATUR, GA 30034-4106
(404) 244-9477
(855) 204-3767
Mailing address
3235 BLACK FOOT CT, LITHONIA, GA 30038-1101
(770) 833-6036

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008649
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP008649
STATE LICENSE NUMBER
GA
Enumeration date
11/13/2017
Last updated
03/16/2020
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