Individual
MS. SANDRA LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
813 E LEMON ST, FITZGERALD, GA 31750-3818
(229) 423-3506
Mailing address
PO BOX 143, FITZGERALD, GA 31750-0143
(229) 423-3506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003086
GA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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