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1811188626
TINA ANDERSON ELLSWORTH
MARIETTA, GA
NPI
1811188626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006703)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
Mrs. TINA ANDERSON ELLSWORTH M.S. ED CCC-SLP
805 NOB RIDGE DR
MARIETTA, GA 30064-5736
Phone number: 770-429-0694
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Mailing Address
Mrs. TINA ANDERSON ELLSWORTH M.S. ED CCC-SLP
805 NOB RIDGE DR
MARIETTA, GA 30064-5736
Phone number: 770-429-0694
Copy
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