Individual
DENISE ROBINSON LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
7634 BRAZOS TRAIL, FAIRBURN, GA 30213
(704) 264-9422
(678) 489-6116
Mailing address
7634 BRAZOS TRAIL, FAIRBURN, GA 30213
(704) 264-9422
(678) 489-6116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6740
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP006820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141EM
NC BCBS
NC
05
—
444072475A
—
GA
05
—
7412440
—
NC
Enumeration date
12/19/2005
Last updated
04/22/2013
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