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1588797054
BIBIAN CAROL WISDOM -JOHNSON
MCDONOUGH, GA
NPI
1588797054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP001995)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- BIBIAN CAROL WISDOM -JOHNSON SLP
255 RACETRACK RD SUITE 12
MCDONOUGH, GA 30252-6834
Phone number: 404-663-1867
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Mailing Address
-- BIBIAN CAROL WISDOM -JOHNSON SLP
PO BOX 2155
MCDONOUGH, GA 30253-1730
Phone number: 404-663-1867
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