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Organization

WEBER THERAPY ASSOCIATES, INC.

Active
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Organization

WEBER THERAPY ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY BETH WEBER M.ED. CCC SLP (SPEECH-LANGUAGE PATHOLOGIST)
(912) 537-6130
Entity
Organization

Contact information

Practice address
302 DURDEN ST, VIDALIA, GA 30474-4606
(912) 537-6130
(912) 537-6130
Mailing address
302 DURDEN ST, VIDALIA, GA 30474-4606
(912) 537-6130
(912) 537-6130

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003625
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00699663C
GA
Enumeration date
11/08/2006
Last updated
08/22/2020
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