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MS. SANDRA LARKIN CCC-SLP

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

Registrant NPI Number: 1730251760

Individual Registrant:
MS. SANDRA  LARKIN CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
813 E LEMON ST  FITZGERALD, GA 31750-3818 US
Tel: 229-423-3506  Fax: --

Contact information for business:
PO BOX 143  FITZGERALD, GA 31750-0143 US
Tel: 229-423-3506  Fax: --

Registration Information:
NPI: 1730251760
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP003086

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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