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Organization
COMMUNITY KIDS PEDIATRIC THERAPY SERVICES
Active
Organization
COMMUNITY KIDS PEDIATRIC THERAPY SERVICES
Active
Other names
Community Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE LARAYNE BARNES MS CCC-SLP (SPEECH THERAPIST/OWNER)
(770) 502-0303
Entity
Organization
Contact information
Practice address
3229 HIGHWAY 34 E STE 103, NEWNAN, GA 30265-2196
(770) 502-0303
Mailing address
90 GLENDA TRCE STE F, #414, NEWNAN, GA 30265-3868
(770) 502-0303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006883
GA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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