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Katie Rackley Decoudres, M.Ed., CCC-SLP

Speech-Language Pathologist, in Valdosta, GA. Individual provider (NPI-1).

NPI number1376985697
StatusActive
Last updated in NPPESSep 25, 2013

Details

NPI
1376985697
Entity type
Individual (NPI-1)
Name
Katie Rackley Decoudres
Credential
M.Ed., CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2013
Last updated
Sep 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP007048GAYes

Practice location

701 Baytree Rd
Suite C
Valdosta, GA 31602-2880

Phone 229-253-1009 · Fax 229-253-1039

Mailing address

701 Baytree Rd
Suite C
Valdosta, GA 31602-2880

Phone 229-253-1009 · Fax 229-253-1039

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