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Individual

NATALIA MONTALVO AYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 30518-8846
(678) 482-6100
Mailing address
5010 W BROAD ST APT 1219, SUGAR HILL, GA 30518-4202
(678) 863-3901

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012019
GA

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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