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MS. REBECCA TAYLOR WILLINGHAM

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

Registrant NPI Number: 1225222359

Individual Registrant:
MS. REBECCA TAYLOR WILLINGHAM 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
204 W UNION ST  VIENNA, GA 31092-1056 US
Tel: 229-268-4725  Fax: 229-268-1567

Contact information for business:
3921 WEST RD  BYROMVILLE, GA 31007-3501 US
Tel: 229-268-8696  Fax: --

Registration Information:
NPI: 1225222359
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP 000079

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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