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Individual

SANDRA CARLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
529 HILLCREST CIR, HARTWELL, GA 30643-3853
(706) 436-2213
Mailing address
529 HILLCREST CIR, HARTWELL, GA 30643-3853

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003289
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000714051B
GA
Enumeration date
05/05/2010
Last updated
05/05/2010
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