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1164009601
ALEXA LARCINESE
CANTON, GA
NPI
1164009601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP011269)
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
ALEXA LARCINESE CCC-SLP
150 HOSPITAL CIR
CANTON, GA 30114-3209
Phone number: 770-479-5649
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Mailing Address
ALEXA LARCINESE CCC-SLP
5137 ROSWELL RD UNIT 10
ATLANTA, GA 30342-2242
Phone number: 770-331-9442
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