Individual
MARLEY BLACK CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
(706) 310-4103
Mailing address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
(706) 310-4103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004296
GA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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