Individual
BRIDGETTE OLIVIA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1708 OPAL CT, MARTINEZ, GA 30907-9463
(912) 481-4499
Mailing address
1708 OPAL CT, MARTINEZ, GA 30907-9463
(912) 481-4499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009799
GA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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