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Individual

GEORGIA LEE LOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC/SLP

Contact information

Practice address
138 FRIENDSHIP CIR, BEAVER, PA 15009-9714
(724) 774-6494
Mailing address
131 SANGER DR, BEAVER FALLS, PA 15010-9435
(724) 843-2754

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003445L
PA
235Z00000X
Speech-Language Pathologist
SP4040
OH

Other

Enumeration date
10/29/2007
Last updated
01/30/2013
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