Individual
MRS. CASSIE QUICK WHIGGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
307 E 3RD AVE, CORDELE, GA 31015-3208
(229) 271-4612
Mailing address
PO BOX 1, HAWKINSVILLE, GA 31036-0001
(229) 313-9002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001614
GA
Other
Enumeration date
01/20/2011
Last updated
11/02/2011
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