Individual
BREE WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 RIFLE RD, MAYSVILLE, GA 30558-4923
(706) 658-5296
Mailing address
375 RIFLE RD, MAYSVILLE, GA 30558-4923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008307
GA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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