Organization
SPEECH & LANGUAGE OF NORTHWEST GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY RICHARDSON (OWNER)
(770) 684-9123
Entity
Organization
Contact information
Practice address
140 RHINEHART DR, ROCKMART, GA 30153-4439
(770) 684-9123
Mailing address
140 RHINEHART DR, ROCKMART, GA 30153-4439
(770) 684-9123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
02/19/2020
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