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1003321522
DANIEL DEWITT
LOGANVILLE, GA
NPI
1003321522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP009349)
Enumeration Date
2017-12-06
Last Update Date
2017-12-06
Business Address
DANIEL DEWITT CCC-SLP
311 COOPER RD
LOGANVILLE, GA 30052-4976
Phone number: 678-205-5437
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Mailing Address
DANIEL DEWITT CCC-SLP
2340 MATLIN WAY
BUFORD, GA 30519-7191
Phone number:
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