Individual
MRS. KATHY LAWSON ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
484 BRIGHTON RD, TIFTON, GA 31794-2009
(229) 382-6029
Mailing address
484 BRIGHTON RD, TIFTON, GA 31794-2009
(229) 382-6029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004179
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23
—
GA
Enumeration date
05/29/2009
Last updated
05/29/2009
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