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MS. MARY GRACE HOBBY CCC-SLP

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

Registrant NPI Number: 1851465645

Individual Registrant:
MS. MARY GRACE HOBBY CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
177 HOBBY LN  ASHBURN, GA 31714-1926 US
Tel: 229-567-2781  Fax: --

Contact information for business:
177 HOBBY LN  ASHBURN, GA 31714-1926 US
Tel: 229-567-2781  Fax: --

Registration Information:
NPI: 1851465645
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP004887

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
EDI ENS52197809001GA01
WELLCARE46478BA1GA01
BLUE SHIELD197996GA01




HEALTH CARE JOBS GA - Page 1



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