| NPI | 1497262158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRAY WALKER Owner 229-444-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007351) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2023-09-02 |