Individual
ELEONOR SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 WOOD LAKE DR UNIT 19, ATHENS, GA 30606-8324
(706) 705-2587
Mailing address
110 WOOD LAKE DR UNIT 19, ATHENS, GA 30606-8324
(706) 705-2587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010779
GA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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