Individual
CONNIE SUE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4000 VILLAGE VIEW DRIVE, GAINESVILLE, GA 30506
(678) 450-3030
Mailing address
2605 MATLIN WAY, BUFORD, GA 30519
(330) 592-6788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007416
GA
Other
Enumeration date
03/26/2007
Last updated
07/19/2012
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