Individual
HEATHER CALLI DAVIS GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
204 W HARALSON ST, LAGRANGE, GA 30240-2722
(706) 773-7931
Mailing address
3090 JUDGE BROWN RD, VALLEY, AL 36854-7412
(706) 773-7931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012552
GA
Other
Enumeration date
05/16/2023
Last updated
12/14/2023
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