Individual
ANN MARIE COLEMAN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
140 DRENNAN DR, FAYETTEVILLE, GA 30215-2415
(770) 846-6049
Mailing address
140 DRENNAN DR, FAYETTEVILLE, GA 30215-2415
(770) 846-6049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003339
GA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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