| NPI | 1205990009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RAULERSON Seech Pathologist 706-353-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005585) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |