Individual
MIA DANIELLE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4315 JOHNS CREEK PKWY, SUWANEE, GA 30024-6048
(770) 692-0630
Mailing address
2167 ROCK CREEK PARK, DECATUR, GA 30033-3349
(770) 265-7008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006193
GA
Other
Enumeration date
06/06/2012
Last updated
07/19/2023
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