Individual
ETHELYN BARKSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2747 DUNMOORE DR, SNELLVILLE, GA 30078-7356
(770) 985-5597
Mailing address
2747 DUNMOORE DR, SNELLVILLE, GA 30078-7356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000563065H
—
GA
Enumeration date
01/03/2007
Last updated
07/08/2007
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