Individual
DWANA GUNTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP001505
Contact information
Practice address
1200 LAKE HEARN DR NE, SUITE 240, ATLANTA, GA 30319-1415
(404) 943-1070
(404) 943-0890
Mailing address
156 JAIME DR, CANTON, GA 30114-5848
(770) 345-0460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001505
GA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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