| NPI | 1952536633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA INEZ LESTER Speech Language Pathologist 678-852-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006890) |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2009-05-25 |