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Individual

HAYLEY HUGHSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., CCC- SLP

Contact information

Practice address
383 REEDY CREEK CIR, LYONS, GA 30436-3365
(912) 245-1990
Mailing address
383 REEDY CREEK CIR, LYONS, GA 30436-3365
(912) 245-1990

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET002902
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP011051
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003233791L
GA
Enumeration date
07/03/2019
Last updated
08/08/2024
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