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Individual

IVELISSE GOTAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
4500 SATELLITE BLVD, SUITE 2290, DULUTH, GA 30096-5037
(800) 381-2195
Mailing address
1574 BISHOP HOLLOW RUN, DUNWOODY, GA 30338-6134
(561) 729-8080

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001889
GA

Other

Enumeration date
04/15/2013
Last updated
04/15/2013
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