Individual
GINGER LEE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5165 CANAL ST, MILTON, FL 32570-2256
(850) 623-4054
Mailing address
PO BOX 575, NICEVILLE, FL 32588-0575
(850) 499-9593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6114
FL
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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