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1518588854
KRISTIE BENNETT
WAYCROSS, GA
NPI
1518588854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007166)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
KRISTIE BENNETT CCC-SLP
1701 BOULEVARD SQ STE F
WAYCROSS, GA 31501-8022
Phone number: 229-469-6932
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Mailing Address
KRISTIE BENNETT CCC-SLP
809 N PATTERSON ST
VALDOSTA, GA 31601-4528
Phone number: 229-469-6932
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