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1194880161
ANNISSIA C. DAVIS
LITHONIA, GA
NPI
1194880161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 6497)
Enumeration Date
2006-12-27
Last Update Date
2021-05-18
Business Address
ANNISSIA C. DAVIS SLP
7162 LONE OAK WAY
LITHONIA, GA 30058-8291
Phone number: 404-248-0415
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Mailing Address
ANNISSIA C. DAVIS SLP
7162 LONE OAK WAY
LITHONIA, GA 30058-8291
Phone number: 404-248-0415
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