Individual
ELIZABETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
118 HERRON ST, FORT OGLETHORPE, GA 30742-3126
(706) 861-7471
(706) 861-7472
Mailing address
118 HERRON ST, FORT OGLETHORPE, GA 30742-3126
(706) 861-7471
(706) 861-7472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009210
GA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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