Individual
LYNETTE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3357 WARE ST, BLACKSHEAR, GA 31516-6111
(912) 449-5615
(407) 264-6557
Mailing address
816 FORESTWOOD DR, MINNEOLA, FL 34715-7723
(352) 536-2561
(407) 264-6557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004423
GA
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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