Individual
ADRA MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
130 HOWARD LN, FAYETTEVILLE, GA 30215-1849
(770) 460-0165
Mailing address
375 BARRINGTON GRANGE DR, SHARPSBURG, GA 30277-3635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005326
GA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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