Individual
THOMAS GEORGE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC, SLP
Contact information
Practice address
820 COTTAGE ST NE, SALEM, OR 97301-2426
(503) 399-1135
Mailing address
820 COTTAGE ST NE, SALEM, OR 97301-2426
(503) 333-3991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10588
OR
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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