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1104804574
LATICIA PECK
GRAYSON, GA
NPI
1104804574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP005865)
Enumeration Date
2006-01-05
Last Update Date
2009-04-28
Business Address
-- LATICIA PECK SLP
1165 PINE LAKE DR
GRAYSON, GA 30017-7926
Phone number: 678-852-4022
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Mailing Address
-- LATICIA PECK SLP
1165 PINE LAKE DR
GRAYSON, GA 30017-7926
Phone number:
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