Individual
ELISABETH HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1979 LAKESIDE PKWY STE 800, TUCKER, GA 30084-5856
(770) 325-0343
Mailing address
2155 BENTON BLVD, APT 6104, POOLER, GA 31322-1991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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