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1063169126
ANGELICA SHANER
MARIETTA, GA
NPI
1063169126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 5095)
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
ANGELICA SHANER
1515 JOHNSON FERRY RD STE 100
MARIETTA, GA 30062-6492
Phone number: 770-977-9457
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Mailing Address
ANGELICA SHANER
2202 CHANDABROOK DR
PELHAM, AL 35124-1051
Phone number:
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