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Individual

PATRICA ANN SPRATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
3300 MEMORIAL DR, DECATUR, GA 30032-2700
(678) 665-9667
Mailing address
PO BOX 2877, COVINGTON, GA 30015-7877
(678) 665-9667

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005706
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
453221976D
GA
Enumeration date
07/02/2008
Last updated
08/14/2009
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