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Organization
HEAVEN AND EARTH SPEECH THERAPY
Active
Organization
HEAVEN AND EARTH SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEE GULLICKSON SLP (SPEECH LANGUAGE PATHOLOGIST)
(970) 355-0012
Entity
Organization
Contact information
Practice address
460 HILLSDALE DR, FAYETTEVILLE, GA 30214-1416
(970) 355-0012
Mailing address
460 HILLSDALE DR, FAYETTEVILLE, GA 30214-1416
(970) 355-0012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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