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Organization
VILLAGE PATHWAYS COMPREHENSIVE THERAPY, LLC
Active
Organization
VILLAGE PATHWAYS COMPREHENSIVE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE D MURRY PHD, CCC-SLP (OWNER)
(404) 289-4270
Entity
Organization
Contact information
Practice address
2385 LAWRENCEVILLE HWY STE B, DECATUR, GA 30033-3168
(404) 289-4270
(404) 393-2424
Mailing address
2385 LAWRENCEVILLE HWY STE B, DECATUR, GA 30033-3168
(404) 289-4270
(404) 393-2424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP005791
STATE LICENSE
GA
Enumeration date
10/23/2015
Last updated
10/23/2015
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