Individual
MRS. LACEY DAUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
2280 HIGHWAY 29 N, NEWNAN, GA 30265
(770) 683-6834
(770) 252-0886
Mailing address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(770) 683-6904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010044
GA
Other
Enumeration date
08/16/2018
Last updated
09/05/2018
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