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1902668486
ALLISON J TKACZUK
DECATUR, GA
NPI
1902668486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP010247)
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
ALLISON J TKACZUK
522 E PONCE DE LEON AVE
DECATUR, GA 30030-1967
Phone number: 410-913-1174
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Mailing Address
ALLISON J TKACZUK
522 E PONCE DE LEON AVE
DECATUR, GA 30030-1967
Phone number: 410-913-1174
Copy
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