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DR. MARY W HOUSTON SLP

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

Registrant NPI Number: 1275844490

Individual Registrant:
DR. MARY W HOUSTON SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
807 S ISABELLA ST  SYLVESTER, GA 31791-7554 US
Tel: 229-776-6961  Fax: --

Contact information for business:
605 N WESTBERRY ST  SYLVESTER, GA 31791-1741 US
Tel: 229-347-4729  Fax: --

Registration Information:
NPI: 1275844490
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP003776

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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