Individual
DR. MARY W HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
807 S ISABELLA ST, SYLVESTER, GA 31791-7554
(229) 776-6961
Mailing address
605 N WESTBERRY ST, SYLVESTER, GA 31791-1741
(229) 347-4729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003776
GA
Other
Enumeration date
06/23/2010
Last updated
08/12/2016
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