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HEIDI LAWSON CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
3615 BRASELTON HWY STE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Mailing address
3615 BRASELTON HWY STE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004790
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00975565A
GA
Enumeration date
07/30/2008
Last updated
07/30/2008
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