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Organization
THRIVE PEDIATRIC THERAPY GROUP
Active
Organization
THRIVE PEDIATRIC THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHIQUITA SMITH M.A. CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(404) 867-1682
Entity
Organization
Contact information
Practice address
1596 CLEVELAND AVE, UNIT 103, EAST POINT, GA 30344-3205
(404) 975-3080
(888) 886-0460
Mailing address
1596 CLEVELAND AVE, UNIT 103, EAST POINT, GA 30344-3205
(404) 975-3080
(888) 886-0460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004848
GA
235Z00000X
Speech-Language Pathologist
SLP005342
GA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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