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1033384540
LISA BLAKE
ROSWELL, GA
NPI
1033384540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006806)
Enumeration Date
2008-04-25
Last Update Date
2008-04-25
Business Address
-- LISA BLAKE
11111 HOUZE RD SUITE 101
ROSWELL, GA 30076-5663
Phone number: 770-998-9599
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Mailing Address
-- LISA BLAKE
11111 HOUSE ROAD SUITE 101
ROSWELL, GA 30076
Phone number: 770-998-9599
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