Individual
MANDY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 RHINEHART DR, ROCKMART, GA 30153
(770) 684-9123
Mailing address
140 RHINEHART DR, ROCKMART, GA 30153-4439
(770) 684-9123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010312
GA
Other
Enumeration date
11/06/2018
Last updated
02/19/2020
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