TE'ARA SHARAE BOULDIN
Individual Provider (NPI-1)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1861235012- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 120 LATHAM DR, WARNER ROBINS, GA, 310882146
- Phone
- (478) 887-3141
Specialties & Taxonomies
Speech-Language Pathologist,
Primary License: GA #SLP013078
All Addresses
MAILING
9325 BLUE HOUSE RD APT 10303
LADSON, SC, 294564228