Individual
SUSAN WESOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
65 WHITE ST, FT OGLETHORPE, GA 30742-3694
(423) 309-7975
(423) 910-1467
Mailing address
7481 NIGHTFALL CIR, OOLTEWAH, TN 37363-5763
(423) 309-7975
(423) 910-1467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009286
GA
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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