Individual
LISA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
4901 SAINT JOHNS DR, DOUGLASVILLE, GA 30135-1399
(770) 265-4301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010331
GA
Other
Enumeration date
03/04/2014
Last updated
02/13/2023
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