| Mrs Miryam Bordow Daconceicao, | |
|
36261 Okefenokee Dr, Folkston, GA 31537-7853 | |
| (912) 496-7396 | |
| (912) 496-2087 |
| Full Name | Mrs Miryam Bordow Daconceicao |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 36261 Okefenokee Dr, Folkston, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457696825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP006725 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Miryam Bordow Daconceicao, 36261 Okefenokee Dr, Folkston, GA 31537-7853 Ph: (912) 496-7396 | Mrs Miryam Bordow Daconceicao, 36261 Okefenokee Dr, Folkston, GA 31537-7853 Ph: (912) 496-7396 |
Amber Renee Manning, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1405 Sardis Rd, Folkston, GA 31537 Phone: 912-276-0340 | |
Miranda B Jennings, M.ED.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 36261 Okefenokee Dr, Folkston, GA 31537 Phone: 912-496-7396 Fax: 912-496-2087 |