Individual
LUCILLE NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3166 CHEROKEE ST NW, KENNESAW, GA 30144-2883
(678) 290-6524
Mailing address
9155 FOUR MILE CREEK RD, GAINESVILLE, GA 30506-3995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000876
GA
Other
Enumeration date
11/29/2006
Last updated
07/09/2007
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