Individual
MELISSA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.SP.CCC.SLP
Contact information
Practice address
245 LAWN MARKET, SHARPSBURG, GA 30277-1511
(678) 492-3391
(770) 451-8304
Mailing address
PO BOX 478, TYRONE, GA 30290-0478
(678) 492-3391
(770) 451-8304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006030
GA
Other
Enumeration date
04/14/2007
Last updated
07/09/2007
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