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Individual

ERICA SCALES

Active
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Individual

ERICA SCALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.C.D. CCC-SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0004835
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000902173A
—
GA
01
—
10046716
AMERIGROUP
GA
01
—
340992
WELLCARE
GA
01
—
52704304
BLUE CROSS BLUE SHIELF OF GEORGIA PAR AND PPO
GA
Enumeration date
03/15/2006
Last updated
07/29/2020
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