Organization
HEAVEN AND EARTH SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEE GULLICKSON SLP (SPEECH LANGUAGE PATHOLOGIST)
(970) 355-0012
Entity
Organization
Contact information
Practice address
460 HILLSDALE DR, FAYETTEVILLE, GA 30214-1416
(970) 355-0012
Mailing address
460 HILLSDALE DR, FAYETTEVILLE, GA 30214-1416
(970) 355-0012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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