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Individual

ELLEN SOLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2425 HUNTING VALLEY DR, DECATUR, GA 30033-4227
(404) 593-8892
(678) 705-8167
Mailing address
2425 HUNTING VALLEY DR, DECATUR, GA 30033-4227
(404) 593-8892
(678) 705-8167

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5148
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000968591A
GA
05
00968591B
GA
Enumeration date
12/28/2006
Last updated
04/06/2011
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