person
Destiny Lacara Mack
Speech-Language Assistant in Riverdale, Georgia
NPI 1043864432

Destiny Lacara Mack is a Speech-Language Assistant based in Hampton, GA and is specialized in Speech-Language Assistant. Destiny Lacara Mack practices in Riverdale, GA. The NPI Number for Destiny Lacara Mack is 1043864432 and holds a License No. SLPA000396 (Georgia).

The current practice location address for Destiny Lacara Mack is 160 Roberts Dr, Riverdale, GA and can be reached out via phone at 770-473-2905 and via fax at 770-473-2913.

Location: 160 Roberts Dr, Riverdale, GA, 30228-3498
person
Provider Profile Details
NPI Number
1043864432
Provider Name
Destiny Lacara Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
160 Roberts Dr, Riverdale, GA, 30228-3498
Phone Number
770-473-2905
Fax Number
770-473-2913
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
160 Roberts Dr
City
State
Zip
30274-3302
Phone Number
770-473-2905
Fax Number
770-473-2913
person
Provider Business Mailing Address Details
Address
160 Roberts Dr
City
State
Zip
30274-3302
Phone Number
770-473-2905
Fax Number
770-473-2913
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
SLPA000396 (Georgia)
Definition
Definition to come...
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