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Shellie R Davis, CCC-SLP

Speech-Language Pathologist, in Marietta, GA. Individual provider (NPI-1).

NPI number1962051979
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1962051979
Entity type
Individual (NPI-1)
Name
Ms. Shellie R Davis
Credential
CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 11, 2019
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP010725GAYes

Practice location

790 Oak Trail Dr
Marietta, GA 30062-7502

Phone 770-212-2170 · Fax 770-783-8639

Mailing address

7440 Highway 92
Woodstock, GA 30189-5235

Phone 770-212-2170 · Fax 770-783-8639

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