Individual
LATIFAH K DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
902 NORTHSIDE DR, PERRY, GA 31069-3344
(478) 987-1610
(478) 987-1640
Mailing address
902 NORTHSIDE DR, PERRY, GA 31069-3344
(478) 987-1610
(478) 987-1640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007046
GA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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