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1063848455
IVY MICHELLE PORTER
ATLANTA, GA
NPI
1063848455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP008321)
Enumeration Date
2013-09-18
Last Update Date
2020-01-31
Business Address
Ms. IVY MICHELLE PORTER M.S., CCC-SLP
935 MARIETTA ST NW APT 417
ATLANTA, GA 30318-0534
Phone number: 470-219-1561
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Mailing Address
Ms. IVY MICHELLE PORTER M.S., CCC-SLP
935 MARIETTA ST NW APT 417
ATLANTA, GA 30318-0534
Phone number: 470-219-1561
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