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1831254887
LISA A CZECH
TUCKER, GA
NPI
1831254887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 4766)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
-- LISA A CZECH SLP
3760 LAVISTA RD SUITE 102
TUCKER, GA 30084-5615
Phone number: 404-248-0415
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Mailing Address
-- LISA A CZECH SLP
112 POPLAR ST
DECATUR, GA 30030-2721
Phone number: 404-248-0415
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