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1750810719
CORINNE IDA PORTE
BUFORD, GA
NPI
1750810719
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Former Name
CORINNE LACEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 5156)
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
CORINNE IDA PORTE SLP
4319 SOUTH LEE STREET CHANDLER SPEECH AND LANGUAGE SERVICES
BUFORD, GA 30518-5747
Phone number: 678-288-9770
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Mailing Address
CORINNE IDA PORTE SLP
3347 CAMENS WAY
BUFORD, GA 30519-6755
Phone number: 770-653-5175
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