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Individual

MS. MARJORIE K. CROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
1192 FOSTER ST NW, ATLANTA, GA 30318-4329
(404) 377-7436
(404) 377-0884
Mailing address
876 EUCLID AVE NE, ATLANTA, GA 30307-2584
(404) 522-4061

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1640
GA

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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