Individual
MRS. OPAL JEAN M NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GL SLP EDS
Contact information
Practice address
4969 OLD ADEL RD, MOULTRIE, GA 31788-1276
(229) 985-3765
Mailing address
4969 OLD ADEL RD, MOULTRIE, GA 31788-1276
(229) 985-3765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000109
GA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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