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KAITLIN BROWN M.S. CCC-SLP

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

Registrant NPI Number: 1013387869

Individual Registrant:
 KAITLIN  BROWN M.S. CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
118 HERRON STREET  FORT OGLETHORPE, GA 30742 US
Tel: 706-861-7471  Fax: 706-861-7472

Contact information for business:
118 HERRON STREET  FORT OGLETHORPE, GA 30742 US
Tel: 706-861-7471  Fax: 706-861-7472

Registration Information:
NPI: 1013387869
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
TN5639

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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