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Individual

GEORGIA DIANE STONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1076 CHAMBLISS RD, MEMPHIS, TN 38116-6381
(901) 348-2273
Mailing address
2775 DOVE MEADOW LN, SOUTHAVEN, MS 38672-6625
(601) 427-0641

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1624
TN

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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