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1093872079
CANITICE HARRELL
MCDONOUGH, GA
NPI
1093872079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 005031)
Enumeration Date
2007-01-02
Last Update Date
2007-07-09
Business Address
Ms. CANITICE HARRELL CCC-SLP
6505 RIADA CT
MCDONOUGH, GA 30253-8535
Phone number: 678-422-6271
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Mailing Address
Ms. CANITICE HARRELL CCC-SLP
PO BOX 1666
JONESBORO, GA 30237-1666
Phone number: 678-422-6271
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