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1629120969
MARY MICHELLE THOMPSON
MACON, GA
NPI
1629120969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006626)
Enumeration Date
2007-01-17
Last Update Date
2009-06-04
Business Address
-- MARY MICHELLE THOMPSON Speech Therapist
4116 ARKWRIGHT RD SUITE 2
MACON, GA 31210-1707
Phone number: 478-477-0601
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Mailing Address
-- MARY MICHELLE THOMPSON Speech Therapist
902 NORTHSIDE DR
PERRY, GA 31069-3344
Phone number: 478-987-1610
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