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Individual

REBECCA FARTHING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
66 WATERS CV, RICHMOND HILL, GA 31324-5326
(912) 398-6091
Mailing address
66 WATERS CV, RICHMOND HILL, GA 31324-5326
(912) 398-6091

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009600
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14103237
ASHA
Enumeration date
12/11/2020
Last updated
12/11/2020
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