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MARIANNE ALTARES

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1164908885

Individual Registrant:
 MARIANNE  ALTARES 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1709 OAKBROOK LAKE DR  NORCROSS, GA 30093 US
Tel: 706-248-5203  Fax: --

Contact information for business:
1709 OAKBROOK LAKE DR  NORCROSS, GA 30093-1756 US
Tel: 706-248-5203  Fax: --

Registration Information:
NPI: 1164908885
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GA1392961

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION1408775201
GEORGIA PROFESSIONAL STANDARDS COMMISSION1392961GA01




HEALTH CARE JOBS GA - Page 1



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