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Organization
SIMPLY STATED SLP SERVICES, LLC
Active
Organization
SIMPLY STATED SLP SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA BLANETTE BACON M.ED., CCC (SPEECH LANGUAGE PATHOLOGIST)
(404) 808-2323
Entity
Organization
Contact information
Practice address
7327 VIGO DR, LITHONIA, GA 30058-5966
(404) 808-2323
Mailing address
7327 VIGO DR, LITHONIA, GA 30058-5966
(404) 808-2323
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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