Individual
STEPHANIE YAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
101 E THIRD ST, GREENSBORO, GA 30642-1440
(503) 930-4041
Mailing address
105 WESTCHESTER DR, C1, ATHENS, GA 30606-7179
(503) 930-4041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002208
GA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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