Individual
LAURIE WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
107 TWIN OAKS CT, FORTSON, GA 31808-4479
(706) 575-0924
Mailing address
107 TWIN OAKS CT, FORTSON, GA 31808-4479
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
GA
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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