Individual
LAUREL ELIZABETH THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11111 HOUZE ROAD, SUITE 101, ROSWELL, GA 30076
(770) 998-9599
(770) 645-1313
Mailing address
12215 DEER TRL, ALPHARETTA, GA 30004-8593
(706) 998-9599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SPL006441
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP006441
SLP
GA
Enumeration date
02/05/2007
Last updated
07/09/2007
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