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LAWRENCEVILLE, GA
NPI1356924823
Entity TypeOrganization
Authorized ContactJANETT TOLLIVER
Owner
678-963-8973
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2021-05-03
Last Update Date2026-08-14
Business Address
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2805 CAMELOT WOODS DR
LAWRENCEVILLE, GA 30044-3550
Phone number: 678-963-8973
Mailing Address
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2805 CAMELOT WOODS DR
LAWRENCEVILLE, GA 30044-3550
Phone number: 678-963-8973