Individual
MIRANDA RAE HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 RIDGECREST CIR, CLAYTON, GA 30525-4196
(678) 357-5849
Mailing address
PO BOX 1933, CLAYTON, GA 30525-0049
(706) 982-2240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010134
GA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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