LISA BLAKE

ROSWELL, GA
NPI1033384540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP006806)
Enumeration Date2008-04-25
Last Update Date2008-04-25
Business Address
-- LISA BLAKE
11111 HOUZE RD SUITE 101
ROSWELL, GA 30076-5663
Phone number: 770-998-9599
Mailing Address
-- LISA BLAKE
11111 HOUSE ROAD SUITE 101
ROSWELL, GA 30076
Phone number: 770-998-9599
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