Individual
EMILY WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 WINDEMERE DR, SUITE A, VALDOSTA, GA 31602-1686
(229) 244-1667
(229) 244-8253
Mailing address
3833 N OAK STREET EXT, APT. 66, VALDOSTA, GA 31605-1153
(229) 244-1667
(229) 244-8253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002008
GA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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