Individual
MRS. JUDITH B BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5809 WESTLAKE DR, TIFTON, GA 31794-2201
(229) 386-5005
Mailing address
5809 WESTLAKE DR, TIFTON, GA 31794-2201
(229) 392-2521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001263
GA
Other
Enumeration date
03/11/2012
Last updated
03/16/2015
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