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Individual

MRS. REBECCA H SLATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
10960 PENNBROOKE XING, JOHNS CREEK, GA 30097-1874
(770) 622-0864
Mailing address
1006 JEATER BEND DR, CELEBRATION, FL 34747-4846
(770) 622-0864

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003670
GA

Other

Enumeration date
12/14/2011
Last updated
04/25/2016
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