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Organization
THE SPEECH PATH LLC
Active
Organization
THE SPEECH PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE LEWIS (CO-OWNER)
(478) 987-1610
Entity
Organization
Contact information
Practice address
4116 ARKWRIGHT RD, MACON, GA 31210-1707
(478) 477-0601
(973) 965-4580
Mailing address
225 WES PARK DR, PERRY, GA 31069-4829
(478) 987-1610
(973) 965-4580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005641
GA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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