Individual
MRS. MARY LANG GEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
129 PARKWAY DR., THOMASVILLE, GA 31792
(404) 281-0920
(229) 236-0519
Mailing address
129 PARKWAY DR., THOMASVILLE, GA 31792
(404) 281-0920
(229) 236-0519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005579
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670007816A
—
GA
Enumeration date
11/10/2006
Last updated
10/27/2014
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