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1568934404
MARTHA MALONEY ELLWOOD
SNELLVILLE, GA
NPI
1568934404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 003794)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
MARTHA MALONEY ELLWOOD
2121 FOUNTAIN DR STE H
SNELLVILLE, GA 30078-2900
Phone number: 706-870-3897
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Mailing Address
MARTHA MALONEY ELLWOOD
811 KINSEY LN
LAWRENCEVILLE, GA 30046-5691
Phone number: 404-414-7993
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