Individual
AMIE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CF-SLP
Contact information
Practice address
2301 BEMISS RD, VALDOSTA, GA 31602-1934
(229) 244-1667
Mailing address
2301 BEMISS RD, VALDOSTA, GA 31602-1934
(229) 244-1667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003817
GA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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