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Individual

MRS. KAREN E ZANFARDINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2520 RIVERSIDE DRIVE, MACON, GA 31204
(478) 745-9200
(478) 745-9040
Mailing address
303 TAYLOR ELAINE DRIVE, WARNER ROBINS, GA 31088

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3104
OK
235Z00000X
Speech-Language Pathologist
Primary
SLP007795
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200048500A
OK
Enumeration date
08/14/2006
Last updated
04/24/2012
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