Individual
LAUREN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
2710 PANGBORN RD, DECATUR, GA 30033-2326
(912) 572-1005
Mailing address
2710 PANGBORN RD, DECATUR, GA 30033-2326
(912) 572-1005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007922
GA
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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