Individual
CHARLES DYLAN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 PEARL AVE N, DOUGLAS, GA 31533-4632
(912) 331-0846
(678) 792-4894
Mailing address
118 PEARL AVE N, DOUGLAS, GA 31533-4632
(912) 331-0846
(678) 792-4894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002651
GA
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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