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1104818764
IVORY MYRICK BRYANT
LAWRENCEVILLE, GA
NPI
1104818764
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Former Name
IVORY EUGENE MYRICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006196)
Enumeration Date
2005-08-19
Last Update Date
2011-04-06
Business Address
Mrs. IVORY MYRICK BRYANT M.S., CCC-SLP
545 OLD NORCROSS RD SUITE 100
LAWRENCEVILLE, GA 30046-3389
Phone number: 678-377-2833
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Mailing Address
Mrs. IVORY MYRICK BRYANT M.S., CCC-SLP
545 OLD NORCROSS RD SUITE 100
LAWRENCEVILLE, GA 30046-3389
Phone number: 678-377-2833
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