Individual
ELISA GOLDKLANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4799 FAIRVILLE CT, MARIETTA, GA 30062-6479
(770) 594-3194
Mailing address
4799 FAIRVILLE CT, MARIETTA, GA 30062-6479
(770) 594-3194
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006550
GA
Other
Enumeration date
03/05/2012
Last updated
05/14/2012
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