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Individual

MR. MICHAEL ANDREW TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. CCC-SLP

Contact information

Practice address
836 VERDE DR, RIVERDALE, GA 30274-1646
(770) 909-1361
Mailing address
836 VERDE DR, RIVERDALE, GA 30274-1646
(770) 909-1361

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007677
GA

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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