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BREE WHITLOCK

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

Registrant NPI Number: 1326476532

Individual Registrant:
 BREE  WHITLOCK 
Gender: F
Sole Proprietor

Location and contact information for practice:
375 RIFLE RD  MAYSVILLE, GA 30558-4923 US
Tel: 706-658-5296  Fax: --

Contact information for business:
375 RIFLE RD  MAYSVILLE, GA 30558-4923 US
Tel: --  Fax: --

Registration Information:
NPI: 1326476532
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP008307

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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