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1568905982
MARCIE BASILETTI
WOODSTOCK, GA
NPI
1568905982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: GA SLP009397)
Enumeration Date
2016-12-03
Last Update Date
2016-12-03
Business Address
MARCIE BASILETTI CCC-SLP
756 NEESE RD
WOODSTOCK, GA 30188-4297
Phone number: 404-668-4877
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Mailing Address
MARCIE BASILETTI CCC-SLP
756 NEESE RD
WOODSTOCK, GA 30188-4297
Phone number: 404-668-4877
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