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1154596419
JILL NICOLE LAWRENCE
VIDALIA, GA
NPI
1154596419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 4920)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
Mrs. JILL NICOLE LAWRENCE ccc/slp
1400 NE MAIN ST BETHANY ALF
VIDALIA, GA 30474
Phone number: 912-375-3797
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Mailing Address
Mrs. JILL NICOLE LAWRENCE ccc/slp
PO BOX 53
ALAMO, GA 30411-0053
Phone number: 912-523-5683
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