Diana M Boswell, MCD, CCC

NPI #1366708521 in Lilburn, Georgia

Provider Information

NPI Number
1366708521
Entity Type
Individual
Name
Diana M Boswell, MCD, CCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MCD, CCC
Enumeration Date
Apr 2, 2012
Last Updated
Apr 2, 2012

Practice Location

Address
4191 WASH LEE CT SW
State
Georgia
ZIP Code
30047-7440
Phone
(770) 935-7613

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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