Individual
AMBER P OWENSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121B LEE ST, CARROLLTON, GA 30117-3314
(770) 830-8622
(770) 832-9031
Mailing address
136 ASHGATE WAY, CARROLLTON, GA 30117-2484
(770) 328-6952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007532
GA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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