Individual
MISS ASHLEY FOXWORTHY NICOLE FOXWORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1120 15TH ST, BIW6045, AUGUSTA, GA 30912-0004
(706) 721-2482
(706) 721-8168
Mailing address
8021 REAGAN CIR, AUGUSTA, GA 30909-2830
(317) 727-7119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007926
GA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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