Organization
SIMPLY STATED SLP SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA BLANETTE BACON M.ED., CCC (SPEECH LANGUAGE PATHOLOGIST)
(404) 808-2323
Entity
Organization
Contact information
Practice address
7327 VIGO DR, LITHONIA, GA 30058-5966
(404) 808-2323
Mailing address
7327 VIGO DR, LITHONIA, GA 30058-5966
(404) 808-2323
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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