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Individual

MRS. JANINE LAFRANCE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1304 ROCKBRIDGE RD, SUITE 4, STONE MOUNTAIN, GA 30087-3138
(770) 638-3977
(770) 638-1961
Mailing address
905 PINE RIDGE DR, STONE MOUNTAIN, GA 30087-4632
(770) 837-5775
(770) 638-1961

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA 9758
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP005093
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000409200
FL
05
000936471C
GA
Enumeration date
07/31/2006
Last updated
05/12/2009
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