Individual
MRS. NOEL STUCKEY TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5808 OAK ST, EASTMAN, GA 31023-5528
(229) 318-9092
Mailing address
5808 OAK ST, EASTMAN, GA 31023-5528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001504
GA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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