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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
CINDY MIZER (ADMINISTRATOR)
(478) 987-1610
Entity
Organization
Contact information
Practice address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 987-1610
(973) 976-4580
Mailing address
902 NORTHSIDE DR, PERRY, GA 31069-3344
(478) 987-1610
(973) 965-4580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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