Individual
CLAUDESHIA PERTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
316 E 16TH AVE STE A, CORDELE, GA 31015-1209
(229) 207-4004
(229) 394-0031
Mailing address
2760 EB HAMILTON DR APT 121, TIFTON, GA 31793-5050
(229) 296-7594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011229
GA
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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