Individual
LAUREN ETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 LANE ST, MONROE, NC 28112-5456
(704) 233-3428
Mailing address
1605 AMBERGATE DR, WAXHAW, NC 28173-6751
(954) 415-9904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30004252
NC
235Z00000X
Speech-Language Pathologist
SA20470
FL
Other
Enumeration date
02/09/2024
Last updated
09/24/2025
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