Individual
MELISSA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED/ CCC-SLP
Contact information
Practice address
400 ADAMS ST UNIT B, VIDALIA, GA 30474-4817
(478) 254-0636
(912) 525-2847
Mailing address
618 BOWENS MILL RD SW, DOUGLAS, GA 31533-3926
(912) 331-0846
(678) 792-4894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011852
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLP011852
—
GA
Enumeration date
01/19/2021
Last updated
10/30/2024
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