Individual
MRS. AINSLEY P. VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
110 CARLTON ST., 593 ADERHOLD, ATHENS, GA 30602
(706) 542-4598
Mailing address
209 HIDDEN SPRING WAY, ATHENS, GA 30605-5746
(478) 357-5353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10644
AZ
Other
Enumeration date
07/19/2017
Last updated
04/24/2023
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