DANIEL DEWITT

LOGANVILLE, GA
NPI1003321522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP009349)
Enumeration Date2017-12-06
Last Update Date2017-12-06
Business Address
DANIEL DEWITT CCC-SLP
311 COOPER RD
LOGANVILLE, GA 30052-4976
Phone number: 678-205-5437
Mailing Address
DANIEL DEWITT CCC-SLP
2340 MATLIN WAY
BUFORD, GA 30519-7191
Phone number: