CORINNE IDA PORTE

BUFORD, GA
NPI1750810719
Former NameCORINNE LACEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  5156)
Enumeration Date2017-06-05
Last Update Date2017-06-05
Business Address
CORINNE IDA PORTE SLP
4319 SOUTH LEE STREET CHANDLER SPEECH AND LANGUAGE SERVICES
BUFORD, GA 30518-5747
Phone number: 678-288-9770
Mailing Address
CORINNE IDA PORTE SLP
3347 CAMENS WAY
BUFORD, GA 30519-6755
Phone number: 770-653-5175