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Individual

AMBER LIBBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
212 NE BROAD ST, JESUP, GA 31546-4371
(912) 342-8875
(912) 342-8016
Mailing address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 342-8875
(912) 342-8016

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009227
GA

Other

Enumeration date
12/27/2021
Last updated
12/27/2021
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