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1962133405
COURTNEY PENROSE
WOODSTOCK, GA
NPI
1962133405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP012105)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
COURTNEY PENROSE
2001 PROFESSIONAL PKWY STE 220
WOODSTOCK, GA 30188-6444
Phone number: 844-543-8437
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Mailing Address
COURTNEY PENROSE
4526 MYSTIQUE WAY NE
ROSWELL, GA 30075-2087
Phone number: 404-357-8370
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