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Organization
PEDIATRIC SALT CLINIC, LLC
Active
Organization
PEDIATRIC SALT CLINIC, LLC
Active
Other names
Pediatric Salt Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY MATHEWS M.ED., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(478) 697-0459
Entity
Organization
Contact information
Practice address
915 BOXWOOD DR, SAVANNAH, GA 31410-2829
(478) 697-0459
Mailing address
915 BOXWOOD DR, SAVANNAH, GA 31410-2829
(478) 697-0459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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