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Individual

LYNLEY RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
550 TWIN SPRINGS RD NW, ATLANTA, GA 30327-3557
(404) 840-8156
(404) 842-0109
Mailing address
550 TWIN SPRINGS RD NW, ATLANTA, GA 30327-3557
(404) 840-8156
(404) 842-0109

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005075
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000921852A
GA
Enumeration date
10/20/2011
Last updated
10/20/2011
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