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1922441492
IVELISSE GOTAY
DULUTH, GA
NPI
1922441492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET001889)
Enumeration Date
2013-04-15
Last Update Date
2013-04-15
Business Address
-- IVELISSE GOTAY SLP
4500 SATELLITE BLVD SUITE 2290
DULUTH, GA 30096-5037
Phone number: 800-381-2195
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Mailing Address
-- IVELISSE GOTAY SLP
1574 BISHOP HOLLOW RUN
DUNWOODY, GA 30338-6134
Phone number: 561-729-8080
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