Individual
RENEE WILSON CROSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003522
GA
Other
Enumeration date
01/15/2007
Last updated
07/09/2007
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