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1154812261
RAVEN SAMONE WATKINS
LITHONIA, GA
NPI
1154812261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLPA000313)
Enumeration Date
2018-05-24
Last Update Date
2018-05-24
Business Address
RAVEN SAMONE WATKINS
2537 OAKLEAF RDG
LITHONIA, GA 30058-6638
Phone number: 205-499-5837
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Mailing Address
RAVEN SAMONE WATKINS
324 STEVENS ENTRY
PEACHTREE CITY, GA 30269-1325
Phone number: 678-619-0178
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