Individual
SAVANNA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CFY-SLP
Contact information
Practice address
606 EDGEMORE RD, CANTON, GA 30114-1153
(678) 577-2088
Mailing address
606 EDGEMORE RD, CANTON, GA 30114-1153
(678) 577-2088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003779
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCET003779
STATE LICENSE
GA
Enumeration date
02/28/2023
Last updated
10/10/2024
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