Individual
MS. IRA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1003 TOWNE PARK DR, RINCON, GA 31326-5135
(912) 658-7577
Mailing address
1003 TOWNE PARK DR, RINCON, GA 31326-5135
(912) 658-7577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007228
GA
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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