Individual
LAURA DUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5805 DUNN RD SW, MABLETON, GA 30126-4009
(770) 819-2584
Mailing address
5805 DUNN RD SW, MABLETON, GA 30126-4009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010241
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/06/2019
Last updated
10/14/2025
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