MAVIS FARMER

MCDONOUGH, GA
NPI1164763967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  001844)
Enumeration Date2013-03-05
Last Update Date2013-03-05
Business Address
-- MAVIS FARMER
1860 PENNSYLVANIA AVE
MCDONOUGH, GA 30253-9117
Phone number: 678-462-1342
Mailing Address
-- MAVIS FARMER
709 CRESCENT CIR
CANTON, GA 30115-4772
Phone number: 678-462-1342
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