Individual
MISS STEPHANIE ELIZABETH CARBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
441 BUCKINGHAM CIR, MARIETTA, GA 30066-2503
(225) 573-2033
Mailing address
441 BUCKINGHAM CIR, MARIETTA, GA 30066-2503
(225) 573-2033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006730
GA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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