Organization
SPEECH BREAKTHROUGH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEDRA HILLSMAN M.S. CCC-SLP (SPEECH PATHOLOGIST)
(770) 516-0156
Entity
Organization
Contact information
Practice address
157 WINDCROFT LN NW, ACWORTH, GA 30101-3767
(770) 516-0156
(770) 516-0156
Mailing address
PO BOX 148, ACWORTH, GA 30101-0148
(770) 516-0156
(770) 516-0156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
449440
GA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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