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Individual
AMY R THOMAS
Active
Individual
AMY R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CFY-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008491
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCET001895
GA LICENSE
GA
Enumeration date
06/04/2013
Last updated
12/03/2014
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