Individual
SUSAN RACHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 842-3330
Mailing address
720 CAVANAUGH WAY, EVANS, GA 30809-5515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006829
GA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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