Individual
CASEY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2622 MCKINNON DR, DECATUR, GA 30030-4539
(912) 996-5545
Mailing address
3066 VALLEY CIR, DECATUR, GA 30033-5105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008794
GA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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