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Individual

CATHERINE BLAIR PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 VETERINARY WAY STE 3, LEESBURG, GA 31763-5667
(229) 496-5222
(229) 219-7914
Mailing address
1021B ELM AVE, AMERICUS, GA 31709-4229

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007289
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003168471B
GA
Enumeration date
11/23/2010
Last updated
09/21/2022
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