CARSON HUERTA

LAGRANGE, GA
NPI1851279715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  PCET004281)
Enumeration Date2025-08-26
Last Update Date2025-08-26
Business Address
CARSON HUERTA
200 N LEWIS ST
LAGRANGE, GA 30240-2738
Phone number: 706-302-0299
Mailing Address
CARSON HUERTA
200 N LEWIS ST
LAGRANGE, GA 30240-2738
Phone number: 706-302-0299
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