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MADISON SCOTT CHASE SLP

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

Registrant NPI Number: 1922617455

Individual Registrant:
 MADISON SCOTT CHASE SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1130 SENOIA RD STE A1  TYRONE, GA 30290-1640 US
Tel: 678-632-6765  Fax: --

Contact information for business:
60 11TH ST NE APT 1618  ATLANTA, GA 30309-4380 US
Tel: 908-489-5746  Fax: --

Registration Information:
NPI: 1922617455
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP01135

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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