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Individual

MRS. LOGAN WEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
536 GRAND SLAM DR STE 2, EVANS, GA 30809-8045
(706) 854-8434
Mailing address
536 GRAND SLAM DR STE 2, EVANS, GA 30809-8045
(706) 854-8434

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6125
SC
235Z00000X
Speech-Language Pathologist
Primary
SLP010017
GA

Other

Enumeration date
09/19/2016
Last updated
02/22/2019
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