Individual
MRS. SUZANNE A FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
HIGHLANDS INTERNAL MEDICINE, PC, 156 NORTH MAIN ST, CLAYTON, GA 30525
(706) 212-0390
(706) 960-9209
Mailing address
156 NORTH MAIN ST, CLAYTON, GA 30525
(706) 212-0390
(706) 960-9209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004550
GA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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