Individual
KAREN ELIZABETH BOUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP. CF-SLP
Contact information
Practice address
568 BLUE RIDGE DR, EVANS, GA 30809-3604
(706) 364-5262
Mailing address
550 ERNESTINE FLS, GROVETOWN, GA 30813-5516
(706) 496-0265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001891
GA
Other
Enumeration date
06/02/2013
Last updated
06/02/2013
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