Individual
COURTNEY PENROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PROFESSIONAL PKWY STE 220, WOODSTOCK, GA 30188-6444
(844) 543-8437
Mailing address
4526 MYSTIQUE WAY NE, ROSWELL, GA 30075-2087
(404) 357-8370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012105
GA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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