Individual
LATRAY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED/CCC-SLP
Contact information
Practice address
715 ADCOCK CT, EVANS, GA 30809-5104
(229) 444-4774
Mailing address
715 ADCOCK CT, EVANS, GA 30809-5104
(706) 834-2794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007351
GA
Other
Enumeration date
03/17/2011
Last updated
09/02/2023
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