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Organization
THOMAS SPEECH-LANGUAGE THERAPY, LLC
Active
Organization
THOMAS SPEECH-LANGUAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSLEY MYRICK THOMAS M.ED./CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(404) 402-2579
Entity
Organization
Contact information
Practice address
1737 GRAND OAKS DR, WOODSTOCK, GA 30188-4863
(404) 402-2457
Mailing address
1737 GRAND OAKS DR, WOODSTOCK, GA 30188-4863
(404) 402-2457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007540
GA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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