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Individual
LAURA BLACK
Active
Individual
LAURA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012155
GA
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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