Individual
DIANA GODWIN WALDREP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1013 RIVERBURCH PKWY, SUITE 4, DALTON, GA 30721-8887
(866) 261-8090
(706) 226-7869
Mailing address
1013 RIVERBURCH PKWY, SUITE 4, DALTON, GA 30721-8887
(866) 261-8090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001409
GA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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