LISA BLACK

SUWANEE, GA
NPI1801255161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  14052341)
Enumeration Date2016-02-15
Last Update Date2020-02-10
Business Address
LISA BLACK
5400 LAUREL SPRINGS PKWY BLDG 400 #404
SUWANEE, GA 30024-6056
Phone number: 678-473-9954
Mailing Address
LISA BLACK
2355 ASHTON DR
ROSWELL, GA 30076-4233
Phone number: 858-472-3022
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