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Individual

ASHLEY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3215 SHRINE RD STE 12, BRUNSWICK, GA 31520-4300
(912) 554-3805
(912) 554-3621
Mailing address
303 PINEVIEW DR, WAYCROSS, GA 31501-5229

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002597
GA

Other

Enumeration date
08/22/2017
Last updated
08/22/2017
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