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Organization
THE SPEECH THERAPY GROUP, LLC
Active
Organization
THE SPEECH THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMIKA PRENDERGAST M.S. CCC-SLP (DIRECTOR)
(404) 474-1627
Entity
Organization
Contact information
Practice address
1740 HUDSON BRIDGE RD, STE: 1208, STOCKBRIDGE, GA 30281-6331
(404) 474-1627
Mailing address
1740 HUDSON BRIDGE RD, STE: 1208, STOCKBRIDGE, GA 30281-6331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006706
GA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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