CHYAN A. BLACK

DACULA, GA
NPI1396569687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  PCET004159)
Enumeration Date2024-11-13
Last Update Date2024-11-13
Business Address
CHYAN A. BLACK
3615 BRASELTON HWY STE 103
DACULA, GA 30019-5907
Phone number: 678-377-9634
Mailing Address
CHYAN A. BLACK
3615 BRASELTON HWY STE 103
DACULA, GA 30019-5907
Phone number: 678-377-9634
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