Tawanda C Dixon MA CCC-SLP

NPI 1245598002 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1245598002
Gender Female
Enumeration Date 04/30/2012
Last Updated 04/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2502 QUACCO RD
POOLER GA, 31322-9021, US
Phone (864) 350-8811
Fax (912) 201-1556
Business Location
2502 QUACCO RD
POOLER GA, 31322-9021, US
Phone (864) 350-8811
Fax (912) 201-1556
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number SLP006875
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According to our database, Mrs. Tawanda C Dixon MA CCC-SLP NPI is 1245598002, taxonomy code is 235Z00000X and license number is SLP006875, license state is located at Georgia. Tawanda C Dixon MA CCC-SLP physically located at 2502 Quacco Rd, Pooler GA, 31322-9021. NPI Number Tawanda C Dixon MA CCC-SLP has the Individual type.

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1245598002 NPI number is provided on an as is basis without warranty of any kind. 1245598002 is maintained by the National Plan & Provider Enumeration System. The contents of Tawanda C Dixon MA CCC-SLP are for informational purposes only.