Individual
MRS. PATRICIA GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2517 COLLINS PORT CV, SUWANEE, GA 30024-2787
(614) 753-5588
Mailing address
2517 COLLINS PORT CV, SUWANEE, GA 30024-2787
(614) 753-5588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008009
GA
235Z00000X
Speech-Language Pathologist
10605
OH
Other
Enumeration date
07/17/2020
Last updated
08/25/2020
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