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1396983144
LISA D WADE
LAWRENCEVILLE, GA
NPI
1396983144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP001688)
Enumeration Date
2009-02-02
Last Update Date
2009-02-02
Business Address
-- LISA D WADE SLP
368 W PIKE ST SUITE 204
LAWRENCEVILLE, GA 30045-3240
Phone number: 770-755-5278
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Mailing Address
-- LISA D WADE SLP
368 W PIKE ST SUITE 204
LAWRENCEVILLE, GA 30045-3240
Phone number: 770-755-5278
Copy
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