Individual
MADELYN GRACE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED . , CF-SLP
Contact information
Practice address
106 SHOPPERS WAY STE 112, BRUNSWICK, GA 31525-0522
(912) 554-3805
Mailing address
1 MARINA DR APT 304A, ST SIMONS ISLAND, GA 31522-2254
(912) 381-9092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004005
GA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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