Individual
AMUDALAT A ODUNBAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3334 PEACHTREE RD NE, UNIT #1611, ATLANTA, GA 30326-6801
(832) 715-3208
Mailing address
3334 PEACHTREE RD NE, UNIT #1611, ATLANTA, GA 30326-6801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001766
GA
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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