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ANDREA FAYE NESTOR BOSWELL CCC SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1710328299

Individual Registrant:
 ANDREA FAYE NESTOR BOSWELL CCC SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
1117 MONTCLAIR DR  PEACHTREE CITY, GA 30269-1879 US
Tel: 770-486-9768  Fax: --

Contact information for business:
1117 MONTCLAIR DR  PEACHTREE CITY, GA 30269-1879 US
Tel: 770-486-9768  Fax: --

Registration Information:
NPI: 1710328299
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP001143

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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