ANGELA TENNILLE MYRICK

LAWRENCEVILLE, GA
NPI1144631219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP008109)
Enumeration Date2014-05-12
Last Update Date2014-05-12
Business Address
Miss ANGELA TENNILLE MYRICK M.S., CCC-SLP
405 PHILIP BLVD APT 914
LAWRENCEVILLE, GA 30046-8758
Phone number: 770-841-2918
Mailing Address
Miss ANGELA TENNILLE MYRICK M.S., CCC-SLP
545 OLD NORCROSS RD SUITE 100
LAWRENCEVILLE, GA 30046-3389
Phone number: 678-377-2833