MARY E ETHRIDGE

CARROLLTON, GA
NPI1710202031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP007220)
Enumeration Date2010-03-30
Last Update Date2010-03-30
Business Address
-- MARY E ETHRIDGE
121B LEE ST
CARROLLTON, GA 30117-3314
Phone number: 770-830-8622
Mailing Address
-- MARY E ETHRIDGE
121B LEE ST
CARROLLTON, GA 30117-3314
Phone number: 770-830-8622
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