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1144705450
SUSAN IVEY FORTNER
DOUGLAS, GA
NPI
1144705450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET002783)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
SUSAN IVEY FORTNER M.Ed., CF/SLP
306 SHIRLEY AVE
DOUGLAS, GA 31533-2332
Phone number: 912-331-0846
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Mailing Address
SUSAN IVEY FORTNER M.Ed., CF/SLP
306 SHIRLEY AVE
DOUGLAS, GA 31533-2332
Phone number: 912-331-0846
Copy
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