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Individual

EMINA RACIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
Mailing address
4196 TYLER CT, POWDER SPRINGS, GA 30127-3913
(404) 735-7225

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012104
GA

Other

Enumeration date
06/13/2022
Last updated
06/13/2022
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