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Individual

MRS. HAYLEY DOSS THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
(229) 985-3420
Mailing address
PO BOX 40, MOULTRIE, GA 31776-0040
(229) 985-3420

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005249
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000942796K
GA
Enumeration date
04/08/2006
Last updated
10/03/2017
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