Individual
DENNETTE VASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2155 W PARK CT STE D, STONE MOUNTAIN, GA 30087-3511
(470) 234-7550
Mailing address
3904 N DRUID HILLS RD # 301, DECATUR, GA 30033-3105
(470) 377-3980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008192
GA
Other
Enumeration date
09/06/2014
Last updated
01/03/2022
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