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1932462819
WHITNEY TISDALE
CONYERS, GA
NPI
1932462819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP008088)
Enumeration Date
2012-06-16
Last Update Date
2022-07-21
Business Address
-- WHITNEY TISDALE SLP
2395 WALL ST SE STE 170
CONYERS, GA 30013-6703
Phone number: 404-702-5965
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Mailing Address
-- WHITNEY TISDALE SLP
105 CHEROHALA CT
COVINGTON, GA 30016-3428
Phone number: 404-702-5965
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