Individual
EMMA LOUISE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2453 US HIGHWAY 17 STE G, RICHMOND HILL, GA 31324-5960
(912) 445-5612
Mailing address
2453 US HIGHWAY 17 STE G, RICHMOND HILL, GA 31324-5960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012655
GA
Other
Enumeration date
10/10/2022
Last updated
07/13/2023
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