Individual
MRS. NANCY VANCE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
136 MARSHS EDGE LN, ST SIMONS ISLAND, GA 31522-8898
(912) 291-2000
Mailing address
304 SEABROOK WAY, ST SIMONS ISLAND, GA 31522-1745
(478) 718-8239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
GA006603
GA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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