Individual
LARA RANDLE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-6528
Mailing address
2900 PHARR COURT SOUTH NW, APT. 1106, ATLANTA, GA 30305-4976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001748
GA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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