Individual
MS. ELOISE T NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED./CCC-SLP
Contact information
Practice address
110 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214-1500
(770) 461-2928
Mailing address
110 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214-1500
(770) 461-2928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004327
GA
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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