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Organization
PRACTICAL CHILD THERAPY LLC
Active
Organization
PRACTICAL CHILD THERAPY LLC
Active
Other names
Practical Child Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RAYMOND SEMONSKY (PARTNER)
(678) 951-4122
Entity
Organization
Contact information
Practice address
7033 GRAND HICKORY DR, BRASELTON, GA 30517-6253
(678) 951-4122
Mailing address
7033 GRAND HICKORY DR, BRASELTON, GA 30517-6253
(678) 951-4122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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