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Individual

LABRITA JEANENE CASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1015 BRIDGE MILL AVE, CANTON, GA 30114-7797
(770) 317-5993
(770) 720-2274
Mailing address
PO BOX 1259, WOODSTOCK, GA 30188-1259
(770) 317-5993
(770) 720-2274

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005319
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00953378E
GA
Enumeration date
11/13/2006
Last updated
07/09/2007
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