Individual
RUTH ELLEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
226 ALCOVY ST, MONROE, GA 30655-2183
(770) 207-9043
(770) 207-9029
Mailing address
226 ALCOVY ST, MONROE, GA 30655-2183
(770) 207-9043
(770) 207-9029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000547456D
—
GA
Enumeration date
05/31/2005
Last updated
07/09/2007
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