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Individual

GESSYKA YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC/SLP

Contact information

Practice address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 800-5828
Mailing address
400 GUNSTON HALL DR, MILTON, GA 30004-7504
(407) 701-5910

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA 7117
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP008482
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
888719500
FL
Enumeration date
12/05/2006
Last updated
03/14/2023
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