Individual
IMANI HACKSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 NORTHSIDE PKWY NW, ATLANTA, GA 30327-1555
(954) 673-4383
Mailing address
3160 NORTHSIDE PKWY NW, ATLANTA, GA 30327-1555
(954) 673-4383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012770
GA
Other
Enumeration date
01/09/2020
Last updated
09/18/2023
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