Individual
NICOLE ANNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7495 JENNADEE DR, FAIRBURN, GA 30213-6538
(404) 692-1277
Mailing address
7495 JENNADEE DR, FAIRBURN, GA 30213-6538
(404) 692-1277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008759
GA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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