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Organization
LAKE COUNTRY LANGUAGE AND LITERACY LLC
Active
Organization
LAKE COUNTRY LANGUAGE AND LITERACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY GOTHARD M.ED., CCC-SLP (OWNER)
(678) 469-8421
Entity
Organization
Contact information
Practice address
147 ALEXANDER LAKES DR, EATONTON, GA 31024-8051
(678) 469-8421
Mailing address
147 ALEXANDER LAKES DR, EATONTON, GA 31024-8051
(678) 469-8421
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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