Individual
ANGELA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1389 WEBER INDUSTRIAL DR, CUMMING, GA 30041-6468
(770) 886-6204
Mailing address
1389 WEBER INDUSTRIAL DR, CUMMING, GA 30041-6468
(770) 886-6204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011612
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP011612
STATE LICENSE
GA
Enumeration date
07/30/2021
Last updated
07/30/2021
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